National Provider Identifier [NPI]: |
1932452133 |
Last Name Of The Provider |
LEONARD |
First Name Of The Provider |
ZACHARY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2062 WILLOW CREEK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
863015389 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1103 |
Number Of Medicare Beneficiaries |
643 |
Total Submitted Charge Amount |
134225 |
Total Medicare Allowed Amount |
73284.86 |
Total Medicare Payment Amount |
53384.72 |
Total Medicare Standardized Payment Amount |
63923.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
1501 |
Total Drug Medicare AllowedAmount |
281.46 |
Total Drug Medicare PaymentAmount |
199.2 |
Total Drug Medicare Standardized Payment Amount |
199.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
985 |
Number Of Medicare Beneficiaries With Medical Services |
643 |
Total Medical Submitted Charge Amount |
132724 |
Total Medical Medicare Allowed Amount |
73003.4 |
Total Medical Medicare Payment Amount |
53185.52 |
Total Medical Medicare Standardized Payment Amount |
63724.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
600 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8703 |