National Provider Identifier [NPI]: |
1588691026 |
Last Name Of The Provider |
WARRIER |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 MEDICAL PARK LN |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
773404905 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
1456 |
Number Of Medicare Beneficiaries |
180 |
Total Submitted Charge Amount |
230691.78 |
Total Medicare Allowed Amount |
67530.07 |
Total Medicare Payment Amount |
50923.58 |
Total Medicare Standardized Payment Amount |
53515.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
966 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
25078.54 |
Total Drug Medicare AllowedAmount |
11689.95 |
Total Drug Medicare PaymentAmount |
9158.35 |
Total Drug Medicare Standardized Payment Amount |
9158.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
490 |
Number Of Medicare Beneficiaries With Medical Services |
180 |
Total Medical Submitted Charge Amount |
205613.24 |
Total Medical Medicare Allowed Amount |
55840.12 |
Total Medical Medicare Payment Amount |
41765.23 |
Total Medical Medicare Standardized Payment Amount |
44357.08 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
129 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
141 |
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 |
140 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4367 |