National Provider Identifier [NPI]: |
1831138569 |
Last Name Of The Provider |
POUNDS |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2155 W ORANGE GROVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857413118 |
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 |
186 |
Number Of Services |
4056 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
258085.1 |
Total Medicare Allowed Amount |
131285.32 |
Total Medicare Payment Amount |
102331.98 |
Total Medicare Standardized Payment Amount |
103936.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1028 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
6846 |
Total Drug Medicare AllowedAmount |
2864.56 |
Total Drug Medicare PaymentAmount |
2686.91 |
Total Drug Medicare Standardized Payment Amount |
2686.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
3028 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
251239.1 |
Total Medical Medicare Allowed Amount |
128420.76 |
Total Medical Medicare Payment Amount |
99645.07 |
Total Medical Medicare Standardized Payment Amount |
101249.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
266 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9467 |