National Provider Identifier [NPI]: |
1972627560 |
Last Name Of The Provider |
MORCOS |
First Name Of The Provider |
MORCOS |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 N CAMPBELL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857240001 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
2986 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
176418.88 |
Total Medicare Allowed Amount |
55529.76 |
Total Medicare Payment Amount |
41485.47 |
Total Medicare Standardized Payment Amount |
37207.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1400 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
884.8 |
Total Drug Medicare AllowedAmount |
429.54 |
Total Drug Medicare PaymentAmount |
297.52 |
Total Drug Medicare Standardized Payment Amount |
297.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
1586 |
Number Of Medicare Beneficiaries With Medical Services |
1034 |
Total Medical Submitted Charge Amount |
175534.08 |
Total Medical Medicare Allowed Amount |
55100.22 |
Total Medical Medicare Payment Amount |
41187.95 |
Total Medical Medicare Standardized Payment Amount |
36909.76 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
578 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
606 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
82 |
Number Of Hispanic Beneficiaries |
176 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
747 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5928 |