National Provider Identifier [NPI]: |
1902075922 |
Last Name Of The Provider |
SILBERBERG |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 EVERETT DR |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
KYLE |
Zip Code Of The Provider |
786406146 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
24279 |
Number Of Medicare Beneficiaries |
740 |
Total Submitted Charge Amount |
3589252.97 |
Total Medicare Allowed Amount |
868793.41 |
Total Medicare Payment Amount |
776516.65 |
Total Medicare Standardized Payment Amount |
735540.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
694 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
31951 |
Total Drug Medicare AllowedAmount |
7588.19 |
Total Drug Medicare PaymentAmount |
5878.4 |
Total Drug Medicare Standardized Payment Amount |
5878.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
23585 |
Number Of Medicare Beneficiaries With Medical Services |
740 |
Total Medical Submitted Charge Amount |
3557301.97 |
Total Medical Medicare Allowed Amount |
861205.22 |
Total Medical Medicare Payment Amount |
770638.25 |
Total Medical Medicare Standardized Payment Amount |
729662.11 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
333 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
139 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6349 |