Medicare Facts for Dr. William B. Ethridge, MD


National Provider Identifier [NPI]: 1205890530
Last Name Of The Provider ETHRIDGE
First Name Of The Provider WILLIAM
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1951 W 25TH STREET
Street Address 2 Of The Provider STE F
City Of The Provider YUMA
Zip Code Of The Provider 85364
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 67
Number Of Services 24428
Number Of Medicare Beneficiaries 214
Total Submitted Charge Amount 702957.4
Total Medicare Allowed Amount 221683.49
Total Medicare Payment Amount 170739.23
Total Medicare Standardized Payment Amount 168380.85
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 41
Number Of Drug Services 23001
Number Of Medicare Beneficiaries With Drug Services 60
Total Drug Submitted ChargeAmount 472117.4
Total Drug Medicare AllowedAmount 152715.6
Total Drug Medicare PaymentAmount 119531.78
Total Drug Medicare Standardized Payment Amount 119531.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 1427
Number Of Medicare Beneficiaries With Medical Services 214
Total Medical Submitted Charge Amount 230840
Total Medical Medicare Allowed Amount 68967.89
Total Medical Medicare Payment Amount 51207.45
Total Medical Medicare Standardized Payment Amount 48849.07
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74 79
Number Of Beneficiaries Age 75 to 84 97
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 106
Number Of Male Beneficiaries 108
Number Of Non Hispanic White Beneficiaries 153
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 177
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 27
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 8
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.9478

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