National Provider Identifier [NPI]: |
1477526895 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
DAVID |
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 |
4411 MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293822 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
161934 |
Number Of Medicare Beneficiaries |
715 |
Total Submitted Charge Amount |
7912918 |
Total Medicare Allowed Amount |
2362089.86 |
Total Medicare Payment Amount |
1848544.03 |
Total Medicare Standardized Payment Amount |
1869334.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
147917 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
5876296 |
Total Drug Medicare AllowedAmount |
1706585.69 |
Total Drug Medicare PaymentAmount |
1337098.73 |
Total Drug Medicare Standardized Payment Amount |
1337098.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
14017 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
2036622 |
Total Medical Medicare Allowed Amount |
655504.17 |
Total Medical Medicare Payment Amount |
511445.3 |
Total Medical Medicare Standardized Payment Amount |
532235.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8662 |