National Provider Identifier [NPI]: |
1477505980 |
Last Name Of The Provider |
JOSEPH |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2008 E HEBRON PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CARROLLTON |
Zip Code Of The Provider |
750071602 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3086 |
Number Of Medicare Beneficiaries |
407 |
Total Submitted Charge Amount |
414409.03 |
Total Medicare Allowed Amount |
134969.05 |
Total Medicare Payment Amount |
96137.45 |
Total Medicare Standardized Payment Amount |
103974.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
531 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
10520.01 |
Total Drug Medicare AllowedAmount |
946.08 |
Total Drug Medicare PaymentAmount |
705 |
Total Drug Medicare Standardized Payment Amount |
705 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2555 |
Number Of Medicare Beneficiaries With Medical Services |
407 |
Total Medical Submitted Charge Amount |
403889.02 |
Total Medical Medicare Allowed Amount |
134022.97 |
Total Medical Medicare Payment Amount |
95432.45 |
Total Medical Medicare Standardized Payment Amount |
103269.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
301 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
340 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2397 |