National Provider Identifier [NPI]: |
1386647998 |
Last Name Of The Provider |
PFLUEGER |
First Name Of The Provider |
PAUL |
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 |
1223 WILLOW CREEK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
863011427 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
5224 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
1190391.72 |
Total Medicare Allowed Amount |
296809.87 |
Total Medicare Payment Amount |
224827.34 |
Total Medicare Standardized Payment Amount |
225985.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2840 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
93296 |
Total Drug Medicare AllowedAmount |
33376.26 |
Total Drug Medicare PaymentAmount |
25783.48 |
Total Drug Medicare Standardized Payment Amount |
25783.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
2384 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
1097095.72 |
Total Medical Medicare Allowed Amount |
263433.61 |
Total Medical Medicare Payment Amount |
199043.86 |
Total Medical Medicare Standardized Payment Amount |
200202.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
307 |
Number Of Male Beneficiaries |
196 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1266 |