National Provider Identifier [NPI]: |
1962451377 |
Last Name Of The Provider |
PORTERFIELD |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1315 S LA CANADA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREEN VALLEY |
Zip Code Of The Provider |
856141915 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
343915 |
Number Of Medicare Beneficiaries |
1004 |
Total Submitted Charge Amount |
13848191 |
Total Medicare Allowed Amount |
3934871.79 |
Total Medicare Payment Amount |
3061025.53 |
Total Medicare Standardized Payment Amount |
3058596.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
71 |
Number Of Drug Services |
334775 |
Number Of Medicare Beneficiaries With Drug Services |
293 |
Total Drug Submitted ChargeAmount |
12004291 |
Total Drug Medicare AllowedAmount |
3360107.76 |
Total Drug Medicare PaymentAmount |
2626463.09 |
Total Drug Medicare Standardized Payment Amount |
2626463.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
9140 |
Number Of Medicare Beneficiaries With Medical Services |
1004 |
Total Medical Submitted Charge Amount |
1843900 |
Total Medical Medicare Allowed Amount |
574764.03 |
Total Medical Medicare Payment Amount |
434562.44 |
Total Medical Medicare Standardized Payment Amount |
432132.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
932 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
977 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5996 |