National Provider Identifier [NPI]: |
1801844055 |
Last Name Of The Provider |
ABRAMS |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
AFP 6565 E CARONDELET DRIVE SUITE 175 |
Street Address 2 Of The Provider |
ARIZONA COMMUNITY PHYSICIANS PC |
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 |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
1868 |
Number Of Medicare Beneficiaries |
250 |
Total Submitted Charge Amount |
122333 |
Total Medicare Allowed Amount |
65661.11 |
Total Medicare Payment Amount |
48164.5 |
Total Medicare Standardized Payment Amount |
49364.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
352 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
4574.5 |
Total Drug Medicare AllowedAmount |
2078.24 |
Total Drug Medicare PaymentAmount |
1950.19 |
Total Drug Medicare Standardized Payment Amount |
1950.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
1516 |
Number Of Medicare Beneficiaries With Medical Services |
250 |
Total Medical Submitted Charge Amount |
117758.5 |
Total Medical Medicare Allowed Amount |
63582.87 |
Total Medical Medicare Payment Amount |
46214.31 |
Total Medical Medicare Standardized Payment Amount |
47413.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9471 |