National Provider Identifier [NPI]: |
1306994744 |
Last Name Of The Provider |
BARTELS |
First Name Of The Provider |
RUSSELL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. , F.A.C.O.G |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8752 E VIA DE COMMERCIO |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852583396 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1158 |
Number Of Medicare Beneficiaries |
255 |
Total Submitted Charge Amount |
135142 |
Total Medicare Allowed Amount |
98719.4 |
Total Medicare Payment Amount |
70973.87 |
Total Medicare Standardized Payment Amount |
73147.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
438 |
Total Drug Medicare AllowedAmount |
171.93 |
Total Drug Medicare PaymentAmount |
134.76 |
Total Drug Medicare Standardized Payment Amount |
134.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1123 |
Number Of Medicare Beneficiaries With Medical Services |
255 |
Total Medical Submitted Charge Amount |
134704 |
Total Medical Medicare Allowed Amount |
98547.47 |
Total Medical Medicare Payment Amount |
70839.11 |
Total Medical Medicare Standardized Payment Amount |
73013.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
240 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
11 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6656 |