National Provider Identifier [NPI]: |
1386644391 |
Last Name Of The Provider |
JOST |
First Name Of The Provider |
BRADLEY |
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 |
10740 N CENTRAL EXPY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752312162 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
8467 |
Number Of Medicare Beneficiaries |
1345 |
Total Submitted Charge Amount |
2108163 |
Total Medicare Allowed Amount |
796761.02 |
Total Medicare Payment Amount |
584478.43 |
Total Medicare Standardized Payment Amount |
588634.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
774 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
113253 |
Total Drug Medicare AllowedAmount |
49823.27 |
Total Drug Medicare PaymentAmount |
38183.32 |
Total Drug Medicare Standardized Payment Amount |
38183.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
7693 |
Number Of Medicare Beneficiaries With Medical Services |
1345 |
Total Medical Submitted Charge Amount |
1994910 |
Total Medical Medicare Allowed Amount |
746937.75 |
Total Medical Medicare Payment Amount |
546295.11 |
Total Medical Medicare Standardized Payment Amount |
550450.93 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
486 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
780 |
Number Of Male Beneficiaries |
565 |
Number Of Non Hispanic White Beneficiaries |
1210 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1902 |