National Provider Identifier [NPI]: |
1972555449 |
Last Name Of The Provider |
HERLIHY |
First Name Of The Provider |
JAMES |
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 |
6624 FANNIN ST |
Street Address 2 Of The Provider |
SUITE 1730 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302312 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
7839 |
Number Of Medicare Beneficiaries |
1068 |
Total Submitted Charge Amount |
1369407.58 |
Total Medicare Allowed Amount |
550476.26 |
Total Medicare Payment Amount |
422757.05 |
Total Medicare Standardized Payment Amount |
424315.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1904 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
45434.58 |
Total Drug Medicare AllowedAmount |
35737.44 |
Total Drug Medicare PaymentAmount |
28363.33 |
Total Drug Medicare Standardized Payment Amount |
28363.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5935 |
Number Of Medicare Beneficiaries With Medical Services |
1068 |
Total Medical Submitted Charge Amount |
1323973 |
Total Medical Medicare Allowed Amount |
514738.82 |
Total Medical Medicare Payment Amount |
394393.72 |
Total Medical Medicare Standardized Payment Amount |
395952.34 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
741 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
893 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.7431 |