National Provider Identifier [NPI]: |
1053387563 |
Last Name Of The Provider |
HAMBURG |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
333 NORTH DOBSON ROAD |
Street Address 2 Of The Provider |
SUITE 11 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852244412 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3490 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
538047 |
Total Medicare Allowed Amount |
378715.72 |
Total Medicare Payment Amount |
290210.92 |
Total Medicare Standardized Payment Amount |
292898.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
484 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
23572.5 |
Total Drug Medicare AllowedAmount |
19027.31 |
Total Drug Medicare PaymentAmount |
14917.26 |
Total Drug Medicare Standardized Payment Amount |
14917.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3006 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
514474.5 |
Total Medical Medicare Allowed Amount |
359688.41 |
Total Medical Medicare Payment Amount |
275293.66 |
Total Medical Medicare Standardized Payment Amount |
277981.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3305 |