National Provider Identifier [NPI]: |
1639111743 |
Last Name Of The Provider |
KLEIN |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4444 N 32ND ST |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850183956 |
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 |
90 |
Number Of Services |
7893 |
Number Of Medicare Beneficiaries |
1361 |
Total Submitted Charge Amount |
1637221.54 |
Total Medicare Allowed Amount |
549187.01 |
Total Medicare Payment Amount |
413189.16 |
Total Medicare Standardized Payment Amount |
422407.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2015 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
81676 |
Total Drug Medicare AllowedAmount |
16395.97 |
Total Drug Medicare PaymentAmount |
12707.16 |
Total Drug Medicare Standardized Payment Amount |
12707.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
5878 |
Number Of Medicare Beneficiaries With Medical Services |
1361 |
Total Medical Submitted Charge Amount |
1555545.54 |
Total Medical Medicare Allowed Amount |
532791.04 |
Total Medical Medicare Payment Amount |
400482 |
Total Medical Medicare Standardized Payment Amount |
409700.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
1156 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1191 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5717 |