National Provider Identifier [NPI]: |
1629097514 |
Last Name Of The Provider |
SILVER |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2031 MCDANIEL ST |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
NORTH LAS VEGAS |
Zip Code Of The Provider |
890306303 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
841 |
Number Of Medicare Beneficiaries |
135 |
Total Submitted Charge Amount |
119524.31 |
Total Medicare Allowed Amount |
54265.5 |
Total Medicare Payment Amount |
41479.06 |
Total Medicare Standardized Payment Amount |
41316.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
3622.5 |
Total Drug Medicare AllowedAmount |
832.09 |
Total Drug Medicare PaymentAmount |
560.66 |
Total Drug Medicare Standardized Payment Amount |
560.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
709 |
Number Of Medicare Beneficiaries With Medical Services |
135 |
Total Medical Submitted Charge Amount |
115901.81 |
Total Medical Medicare Allowed Amount |
53433.41 |
Total Medical Medicare Payment Amount |
40918.4 |
Total Medical Medicare Standardized Payment Amount |
40755.61 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
52 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
26 |
Number Of Non Hispanic White Beneficiaries |
76 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
86 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
15 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2699 |