National Provider Identifier [NPI]: |
1689834046 |
Last Name Of The Provider |
POSSNER |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7534 E 2ND ST |
Street Address 2 Of The Provider |
102 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852514548 |
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 |
21 |
Number Of Services |
4396 |
Number Of Medicare Beneficiaries |
961 |
Total Submitted Charge Amount |
775610.27 |
Total Medicare Allowed Amount |
459876.86 |
Total Medicare Payment Amount |
356666.16 |
Total Medicare Standardized Payment Amount |
367054.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
4396 |
Number Of Medicare Beneficiaries With Medical Services |
961 |
Total Medical Submitted Charge Amount |
775610.27 |
Total Medical Medicare Allowed Amount |
459876.86 |
Total Medical Medicare Payment Amount |
356666.16 |
Total Medical Medicare Standardized Payment Amount |
367054.63 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
904 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7073 |