National Provider Identifier [NPI]: |
1528280864 |
Last Name Of The Provider |
TUMYAN |
First Name Of The Provider |
ARMINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4700 ALLIANCE BLVD |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750935323 |
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 |
99 |
Number Of Services |
25462 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
1798178.95 |
Total Medicare Allowed Amount |
861552.83 |
Total Medicare Payment Amount |
667782.11 |
Total Medicare Standardized Payment Amount |
677938.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
22798 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
1396349.25 |
Total Drug Medicare AllowedAmount |
687896.34 |
Total Drug Medicare PaymentAmount |
537648.64 |
Total Drug Medicare Standardized Payment Amount |
537648.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2664 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
401829.7 |
Total Medical Medicare Allowed Amount |
173656.49 |
Total Medical Medicare Payment Amount |
130133.47 |
Total Medical Medicare Standardized Payment Amount |
140289.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
17 |
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 |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.219 |