National Provider Identifier [NPI]: |
1841260114 |
Last Name Of The Provider |
ASHDOWN |
First Name Of The Provider |
BOYD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
677 N WILMOT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857112701 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
9030 |
Number Of Medicare Beneficiaries |
1517 |
Total Submitted Charge Amount |
1715699 |
Total Medicare Allowed Amount |
336555.1 |
Total Medicare Payment Amount |
255841 |
Total Medicare Standardized Payment Amount |
264571.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6901 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
25766 |
Total Drug Medicare AllowedAmount |
8010.82 |
Total Drug Medicare PaymentAmount |
6215.66 |
Total Drug Medicare Standardized Payment Amount |
6215.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2129 |
Number Of Medicare Beneficiaries With Medical Services |
1517 |
Total Medical Submitted Charge Amount |
1689933 |
Total Medical Medicare Allowed Amount |
328544.28 |
Total Medical Medicare Payment Amount |
249625.34 |
Total Medical Medicare Standardized Payment Amount |
258355.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
877 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1290 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
142 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.3547 |