National Provider Identifier [NPI]: |
1932100831 |
Last Name Of The Provider |
XAVIER |
First Name Of The Provider |
LYNDON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
725 S DOBSON RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852245680 |
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 |
85 |
Number Of Services |
4707 |
Number Of Medicare Beneficiaries |
1034 |
Total Submitted Charge Amount |
1197868.2 |
Total Medicare Allowed Amount |
597291.76 |
Total Medicare Payment Amount |
452983.38 |
Total Medicare Standardized Payment Amount |
464332.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
799 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
85493 |
Total Drug Medicare AllowedAmount |
42357.25 |
Total Drug Medicare PaymentAmount |
32843.43 |
Total Drug Medicare Standardized Payment Amount |
32843.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3908 |
Number Of Medicare Beneficiaries With Medical Services |
1034 |
Total Medical Submitted Charge Amount |
1112375.2 |
Total Medical Medicare Allowed Amount |
554934.51 |
Total Medical Medicare Payment Amount |
420139.95 |
Total Medical Medicare Standardized Payment Amount |
431488.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
540 |
Number Of Non Hispanic White Beneficiaries |
854 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6377 |