National Provider Identifier [NPI]: |
1962488502 |
Last Name Of The Provider |
CHAPMAN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 BINZ ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770046900 |
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 |
75 |
Number Of Services |
6367 |
Number Of Medicare Beneficiaries |
1010 |
Total Submitted Charge Amount |
546792 |
Total Medicare Allowed Amount |
124791.36 |
Total Medicare Payment Amount |
95164.25 |
Total Medicare Standardized Payment Amount |
95838.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4891 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
10958 |
Total Drug Medicare AllowedAmount |
1051.57 |
Total Drug Medicare PaymentAmount |
824.47 |
Total Drug Medicare Standardized Payment Amount |
824.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1476 |
Number Of Medicare Beneficiaries With Medical Services |
1010 |
Total Medical Submitted Charge Amount |
535834 |
Total Medical Medicare Allowed Amount |
123739.79 |
Total Medical Medicare Payment Amount |
94339.78 |
Total Medical Medicare Standardized Payment Amount |
95014.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
399 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
456 |
Number Of Non Hispanic White Beneficiaries |
663 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
128 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
770 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.7804 |