National Provider Identifier [NPI]: |
1306026133 |
Last Name Of The Provider |
GIANELLA |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7026 OLD KATY RD STE 276 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242187 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
4488 |
Number Of Medicare Beneficiaries |
2852 |
Total Submitted Charge Amount |
733636 |
Total Medicare Allowed Amount |
154150.15 |
Total Medicare Payment Amount |
119383.12 |
Total Medicare Standardized Payment Amount |
124292.94 |
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 |
162 |
Number Of Medical Services |
4488 |
Number Of Medicare Beneficiaries With Medical Services |
2852 |
Total Medical Submitted Charge Amount |
733636 |
Total Medical Medicare Allowed Amount |
154150.15 |
Total Medical Medicare Payment Amount |
119383.12 |
Total Medical Medicare Standardized Payment Amount |
124292.94 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
500 |
Number Of Beneficiaries Age 65 to 74 |
1130 |
Number Of Beneficiaries Age 75 to 84 |
785 |
Number Of Beneficiaries Age Greater 84 |
437 |
Number Of Female Beneficiaries |
1735 |
Number Of Male Beneficiaries |
1117 |
Number Of Non Hispanic White Beneficiaries |
2120 |
Number Of Black or African American Beneficiaries |
436 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
244 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
612 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0198 |