National Provider Identifier [NPI]: |
1609882950 |
Last Name Of The Provider |
MORROW |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10401 ANDERSON MILL #110B |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787502579 |
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 |
103 |
Number Of Services |
1756 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
149007.76 |
Total Medicare Allowed Amount |
85799.89 |
Total Medicare Payment Amount |
63572.41 |
Total Medicare Standardized Payment Amount |
65766.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
4572 |
Total Drug Medicare AllowedAmount |
2751.96 |
Total Drug Medicare PaymentAmount |
2682.04 |
Total Drug Medicare Standardized Payment Amount |
2682.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
1689 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
144435.76 |
Total Medical Medicare Allowed Amount |
83047.93 |
Total Medical Medicare Payment Amount |
60890.37 |
Total Medical Medicare Standardized Payment Amount |
63084 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0925 |