National Provider Identifier [NPI]: |
1659377398 |
Last Name Of The Provider |
GEOHAS |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3805 E BELL RD |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
85032 |
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 |
42 |
Number Of Services |
6158 |
Number Of Medicare Beneficiaries |
1721 |
Total Submitted Charge Amount |
804212 |
Total Medicare Allowed Amount |
381989.98 |
Total Medicare Payment Amount |
282747.72 |
Total Medicare Standardized Payment Amount |
286683.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
329 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
38837 |
Total Drug Medicare AllowedAmount |
17367.06 |
Total Drug Medicare PaymentAmount |
13615.56 |
Total Drug Medicare Standardized Payment Amount |
13615.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5829 |
Number Of Medicare Beneficiaries With Medical Services |
1721 |
Total Medical Submitted Charge Amount |
765375 |
Total Medical Medicare Allowed Amount |
364622.92 |
Total Medical Medicare Payment Amount |
269132.16 |
Total Medical Medicare Standardized Payment Amount |
273068.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
666 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
875 |
Number Of Male Beneficiaries |
846 |
Number Of Non Hispanic White Beneficiaries |
1419 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.8007 |