National Provider Identifier [NPI]: |
1396725958 |
Last Name Of The Provider |
SANDERS |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 S DOBSON RD |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852866157 |
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 |
95 |
Number Of Services |
10784 |
Number Of Medicare Beneficiaries |
792 |
Total Submitted Charge Amount |
1107303.31 |
Total Medicare Allowed Amount |
445245.58 |
Total Medicare Payment Amount |
339650.25 |
Total Medicare Standardized Payment Amount |
342165.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7010 |
Number Of Medicare Beneficiaries With Drug Services |
368 |
Total Drug Submitted ChargeAmount |
166574.4 |
Total Drug Medicare AllowedAmount |
71582.37 |
Total Drug Medicare PaymentAmount |
55891.22 |
Total Drug Medicare Standardized Payment Amount |
55891.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3774 |
Number Of Medicare Beneficiaries With Medical Services |
792 |
Total Medical Submitted Charge Amount |
940728.91 |
Total Medical Medicare Allowed Amount |
373663.21 |
Total Medical Medicare Payment Amount |
283759.03 |
Total Medical Medicare Standardized Payment Amount |
286274.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8998 |