National Provider Identifier [NPI]: |
1922095090 |
Last Name Of The Provider |
HIGHTOWER |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1415 NORTH LOOP W |
Street Address 2 Of The Provider |
SUITE 820 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770081664 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
3843 |
Number Of Medicare Beneficiaries |
2052 |
Total Submitted Charge Amount |
417654 |
Total Medicare Allowed Amount |
92128.54 |
Total Medicare Payment Amount |
70208.39 |
Total Medicare Standardized Payment Amount |
71002.43 |
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 |
122 |
Number Of Medical Services |
3843 |
Number Of Medicare Beneficiaries With Medical Services |
2052 |
Total Medical Submitted Charge Amount |
417654 |
Total Medical Medicare Allowed Amount |
92128.54 |
Total Medical Medicare Payment Amount |
70208.39 |
Total Medical Medicare Standardized Payment Amount |
71002.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
280 |
Number Of Beneficiaries Age 65 to 74 |
731 |
Number Of Beneficiaries Age 75 to 84 |
646 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1229 |
Number Of Male Beneficiaries |
823 |
Number Of Non Hispanic White Beneficiaries |
1607 |
Number Of Black or African American Beneficiaries |
174 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
218 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
404 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2634 |