National Provider Identifier [NPI]: |
1669477568 |
Last Name Of The Provider |
ENGLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4600 FAIRMONT PKWY |
Street Address 2 Of The Provider |
STE 107 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
775043336 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
21592 |
Number Of Medicare Beneficiaries |
361 |
Total Submitted Charge Amount |
560950.51 |
Total Medicare Allowed Amount |
345075.36 |
Total Medicare Payment Amount |
264971.98 |
Total Medicare Standardized Payment Amount |
259867.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
6467 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
208170.35 |
Total Drug Medicare AllowedAmount |
137348.53 |
Total Drug Medicare PaymentAmount |
107911.06 |
Total Drug Medicare Standardized Payment Amount |
107911.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
15125 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
352780.16 |
Total Medical Medicare Allowed Amount |
207726.83 |
Total Medical Medicare Payment Amount |
157060.92 |
Total Medical Medicare Standardized Payment Amount |
151956.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
273 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9868 |