National Provider Identifier [NPI]: |
1902891880 |
Last Name Of The Provider |
SWENSON |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21803 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
SUITE 125 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852557437 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2263 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
255805 |
Total Medicare Allowed Amount |
169650.28 |
Total Medicare Payment Amount |
125135.26 |
Total Medicare Standardized Payment Amount |
126994.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
18066 |
Total Drug Medicare AllowedAmount |
11969.9 |
Total Drug Medicare PaymentAmount |
11429.58 |
Total Drug Medicare Standardized Payment Amount |
11429.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2052 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
237739 |
Total Medical Medicare Allowed Amount |
157680.38 |
Total Medical Medicare Payment Amount |
113705.68 |
Total Medical Medicare Standardized Payment Amount |
115565.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7131 |