National Provider Identifier [NPI]: |
1275526188 |
Last Name Of The Provider |
MILLAR |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8715 VILLAGE DR |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782175405 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1498 |
Number Of Medicare Beneficiaries |
803 |
Total Submitted Charge Amount |
400198.84 |
Total Medicare Allowed Amount |
133071.8 |
Total Medicare Payment Amount |
92422.52 |
Total Medicare Standardized Payment Amount |
99855.16 |
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 |
26 |
Number Of Medical Services |
1498 |
Number Of Medicare Beneficiaries With Medical Services |
803 |
Total Medical Submitted Charge Amount |
400198.84 |
Total Medical Medicare Allowed Amount |
133071.8 |
Total Medical Medicare Payment Amount |
92422.52 |
Total Medical Medicare Standardized Payment Amount |
99855.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
172 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
574 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.5815 |