National Provider Identifier [NPI]: |
1568432193 |
Last Name Of The Provider |
CARDENAS |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1975 W 24TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUMA |
Zip Code Of The Provider |
853646105 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
10371 |
Number Of Medicare Beneficiaries |
1667 |
Total Submitted Charge Amount |
1928661 |
Total Medicare Allowed Amount |
1151592.74 |
Total Medicare Payment Amount |
872197.29 |
Total Medicare Standardized Payment Amount |
874701.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2260 |
Number Of Medicare Beneficiaries With Drug Services |
557 |
Total Drug Submitted ChargeAmount |
169500 |
Total Drug Medicare AllowedAmount |
119787.11 |
Total Drug Medicare PaymentAmount |
90758.13 |
Total Drug Medicare Standardized Payment Amount |
90758.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
8111 |
Number Of Medicare Beneficiaries With Medical Services |
1667 |
Total Medical Submitted Charge Amount |
1759161 |
Total Medical Medicare Allowed Amount |
1031805.63 |
Total Medical Medicare Payment Amount |
781439.16 |
Total Medical Medicare Standardized Payment Amount |
783943.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
645 |
Number Of Beneficiaries Age 75 to 84 |
672 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
921 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
365 |
Number Of American Indian Alaska Native Beneficiaries |
24 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5467 |