National Provider Identifier [NPI]: |
1205893708 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9157 HUEBNER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782401502 |
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 |
59 |
Number Of Services |
5703 |
Number Of Medicare Beneficiaries |
1204 |
Total Submitted Charge Amount |
2707284 |
Total Medicare Allowed Amount |
1190817.31 |
Total Medicare Payment Amount |
903693.29 |
Total Medicare Standardized Payment Amount |
929775.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1734 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
1355354 |
Total Drug Medicare AllowedAmount |
707781.48 |
Total Drug Medicare PaymentAmount |
549214.87 |
Total Drug Medicare Standardized Payment Amount |
549214.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3969 |
Number Of Medicare Beneficiaries With Medical Services |
1204 |
Total Medical Submitted Charge Amount |
1351930 |
Total Medical Medicare Allowed Amount |
483035.83 |
Total Medical Medicare Payment Amount |
354478.42 |
Total Medical Medicare Standardized Payment Amount |
380560.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
526 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
531 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
886 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5633 |