National Provider Identifier [NPI]: |
1144232414 |
Last Name Of The Provider |
HIGHBAUGH |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3434 SWISS AVE |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752046251 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
6804 |
Number Of Medicare Beneficiaries |
608 |
Total Submitted Charge Amount |
468145.78 |
Total Medicare Allowed Amount |
198794.59 |
Total Medicare Payment Amount |
144935.35 |
Total Medicare Standardized Payment Amount |
147826.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1918 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
42808.2 |
Total Drug Medicare AllowedAmount |
11133.35 |
Total Drug Medicare PaymentAmount |
9044.74 |
Total Drug Medicare Standardized Payment Amount |
9044.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
4886 |
Number Of Medicare Beneficiaries With Medical Services |
608 |
Total Medical Submitted Charge Amount |
425337.58 |
Total Medical Medicare Allowed Amount |
187661.24 |
Total Medical Medicare Payment Amount |
135890.61 |
Total Medical Medicare Standardized Payment Amount |
138781.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
565 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.862 |