National Provider Identifier [NPI]: |
1023018660 |
Last Name Of The Provider |
WARFIELD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5620 W THUNDERBIRD RD |
Street Address 2 Of The Provider |
C1 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
853064636 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
10560 |
Number Of Medicare Beneficiaries |
808 |
Total Submitted Charge Amount |
898620 |
Total Medicare Allowed Amount |
344629.6 |
Total Medicare Payment Amount |
257306.62 |
Total Medicare Standardized Payment Amount |
263775.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
370 |
Number Of Medicare Beneficiaries With Drug Services |
326 |
Total Drug Submitted ChargeAmount |
18460 |
Total Drug Medicare AllowedAmount |
9146.94 |
Total Drug Medicare PaymentAmount |
8790.48 |
Total Drug Medicare Standardized Payment Amount |
8790.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
10190 |
Number Of Medicare Beneficiaries With Medical Services |
808 |
Total Medical Submitted Charge Amount |
880160 |
Total Medical Medicare Allowed Amount |
335482.66 |
Total Medical Medicare Payment Amount |
248516.14 |
Total Medical Medicare Standardized Payment Amount |
254984.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0238 |