National Provider Identifier [NPI]: |
1639147382 |
Last Name Of The Provider |
MOLLS |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6130 N LA CHOLLA BLVD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857413557 |
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 |
78 |
Number Of Services |
7100 |
Number Of Medicare Beneficiaries |
1257 |
Total Submitted Charge Amount |
1569847.02 |
Total Medicare Allowed Amount |
811129.31 |
Total Medicare Payment Amount |
618787.03 |
Total Medicare Standardized Payment Amount |
624855.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1617 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
164833 |
Total Drug Medicare AllowedAmount |
85521.53 |
Total Drug Medicare PaymentAmount |
66438.39 |
Total Drug Medicare Standardized Payment Amount |
66438.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5483 |
Number Of Medicare Beneficiaries With Medical Services |
1257 |
Total Medical Submitted Charge Amount |
1405014.02 |
Total Medical Medicare Allowed Amount |
725607.78 |
Total Medical Medicare Payment Amount |
552348.64 |
Total Medical Medicare Standardized Payment Amount |
558417.2 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
510 |
Number Of Beneficiaries Age 75 to 84 |
423 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
667 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
954 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
263 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1015 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3611 |