National Provider Identifier [NPI]: |
1578786877 |
Last Name Of The Provider |
ZAHAROFF |
First Name Of The Provider |
NATALIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3269 STOCKTON HILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KINGMAN |
Zip Code Of The Provider |
864093619 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1112 |
Number Of Medicare Beneficiaries |
935 |
Total Submitted Charge Amount |
1176853.5 |
Total Medicare Allowed Amount |
175072.74 |
Total Medicare Payment Amount |
134602.43 |
Total Medicare Standardized Payment Amount |
133284.64 |
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 |
35 |
Number Of Medical Services |
1112 |
Number Of Medicare Beneficiaries With Medical Services |
935 |
Total Medical Submitted Charge Amount |
1176853.5 |
Total Medical Medicare Allowed Amount |
175072.74 |
Total Medical Medicare Payment Amount |
134602.43 |
Total Medical Medicare Standardized Payment Amount |
133284.64 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
464 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
631 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0863 |