Medicare Facts for Daniel E. Davenport, NP


National Provider Identifier [NPI]: 1831211010
Last Name Of The Provider DAVENPORT
First Name Of The Provider DANIEL
Middle Initial Of The Provider F
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2200 BERGQUIST DR STE 1
Street Address 2 Of The Provider
City Of The Provider LACKLAND A F B
Zip Code Of The Provider 782369908
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 26
Number Of Medicare Beneficiaries 19
Total Submitted Charge Amount 33649
Total Medicare Allowed Amount 3556.3
Total Medicare Payment Amount 2788.18
Total Medicare Standardized Payment Amount 2833.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 12
Number Of Medical Services 26
Number Of Medicare Beneficiaries With Medical Services 19
Total Medical Submitted Charge Amount 33649
Total Medical Medicare Allowed Amount 3556.3
Total Medical Medicare Payment Amount 2788.18
Total Medical Medicare Standardized Payment Amount 2833.98
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
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 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 63
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 74
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 2.1332

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