National Provider Identifier [NPI]: |
1750585600 |
Last Name Of The Provider |
HELM |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1713 S FM 51 |
Street Address 2 Of The Provider |
#103 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
762343642 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2077 |
Number Of Medicare Beneficiaries |
438 |
Total Submitted Charge Amount |
750560 |
Total Medicare Allowed Amount |
153783.62 |
Total Medicare Payment Amount |
112156.18 |
Total Medicare Standardized Payment Amount |
119830.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3855 |
Total Drug Medicare AllowedAmount |
1309.36 |
Total Drug Medicare PaymentAmount |
1003.84 |
Total Drug Medicare Standardized Payment Amount |
1003.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1988 |
Number Of Medicare Beneficiaries With Medical Services |
438 |
Total Medical Submitted Charge Amount |
746705 |
Total Medical Medicare Allowed Amount |
152474.26 |
Total Medical Medicare Payment Amount |
111152.34 |
Total Medical Medicare Standardized Payment Amount |
118826.92 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3438 |