National Provider Identifier [NPI]: |
1962449934 |
Last Name Of The Provider |
BRYAN |
First Name Of The Provider |
JAMES |
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 |
1215 S COULTER ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061758 |
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 |
122 |
Number Of Services |
6093 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
173744.65 |
Total Medicare Allowed Amount |
158191.7 |
Total Medicare Payment Amount |
114401 |
Total Medicare Standardized Payment Amount |
122149.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
930 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
8627.86 |
Total Drug Medicare AllowedAmount |
6802.98 |
Total Drug Medicare PaymentAmount |
5450.56 |
Total Drug Medicare Standardized Payment Amount |
5450.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
5163 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
165116.79 |
Total Medical Medicare Allowed Amount |
151388.72 |
Total Medical Medicare Payment Amount |
108950.44 |
Total Medical Medicare Standardized Payment Amount |
116698.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
196 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
443 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.922 |