National Provider Identifier [NPI]: |
1427034271 |
Last Name Of The Provider |
ROSS |
First Name Of The Provider |
HARDING |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10101 FONDREN RD |
Street Address 2 Of The Provider |
SUITE 221 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770964564 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
132341 |
Number Of Medicare Beneficiaries |
1400 |
Total Submitted Charge Amount |
1582019.42 |
Total Medicare Allowed Amount |
1566025.02 |
Total Medicare Payment Amount |
1183789.75 |
Total Medicare Standardized Payment Amount |
1211354 |
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 |
24 |
Number Of Medical Services |
132341 |
Number Of Medicare Beneficiaries With Medical Services |
1400 |
Total Medical Submitted Charge Amount |
1582019.42 |
Total Medical Medicare Allowed Amount |
1566025.02 |
Total Medical Medicare Payment Amount |
1183789.75 |
Total Medical Medicare Standardized Payment Amount |
1211354 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
909 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
847 |
Number Of Non Hispanic White Beneficiaries |
115 |
Number Of Black or African American Beneficiaries |
1242 |
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 |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1106 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1793 |