National Provider Identifier [NPI]: |
1437101946 |
Last Name Of The Provider |
STRAUTMAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
677 N. WILMOT ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
85711 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
5290 |
Number Of Medicare Beneficiaries |
2772 |
Total Submitted Charge Amount |
478320 |
Total Medicare Allowed Amount |
198721.66 |
Total Medicare Payment Amount |
168388.52 |
Total Medicare Standardized Payment Amount |
170951.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
890 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
2090 |
Total Drug Medicare AllowedAmount |
595.34 |
Total Drug Medicare PaymentAmount |
466.74 |
Total Drug Medicare Standardized Payment Amount |
466.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
4400 |
Number Of Medicare Beneficiaries With Medical Services |
2772 |
Total Medical Submitted Charge Amount |
476230 |
Total Medical Medicare Allowed Amount |
198126.32 |
Total Medical Medicare Payment Amount |
167921.78 |
Total Medical Medicare Standardized Payment Amount |
170485.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
308 |
Number Of Beneficiaries Age 65 to 74 |
1223 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
453 |
Number Of Female Beneficiaries |
1945 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
2351 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
259 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3864 |