National Provider Identifier [NPI]: |
1932199767 |
Last Name Of The Provider |
CONROW |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12951 SOUTH FWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770471923 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
8454 |
Number Of Medicare Beneficiaries |
5762 |
Total Submitted Charge Amount |
1045136 |
Total Medicare Allowed Amount |
187652.66 |
Total Medicare Payment Amount |
143240.32 |
Total Medicare Standardized Payment Amount |
144600.61 |
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 |
131 |
Number Of Medical Services |
8454 |
Number Of Medicare Beneficiaries With Medical Services |
5762 |
Total Medical Submitted Charge Amount |
1045136 |
Total Medical Medicare Allowed Amount |
187652.66 |
Total Medical Medicare Payment Amount |
143240.32 |
Total Medical Medicare Standardized Payment Amount |
144600.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1007 |
Number Of Beneficiaries Age 65 to 74 |
2082 |
Number Of Beneficiaries Age 75 to 84 |
1628 |
Number Of Beneficiaries Age Greater 84 |
1045 |
Number Of Female Beneficiaries |
3181 |
Number Of Male Beneficiaries |
2581 |
Number Of Non Hispanic White Beneficiaries |
3731 |
Number Of Black or African American Beneficiaries |
1124 |
Number Of AsianPacific Islander Beneficiaries |
234 |
Number Of Hispanic Beneficiaries |
602 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1210 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.6193 |