National Provider Identifier [NPI]: |
1912978933 |
Last Name Of The Provider |
HUFF |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14615 SAN PEDRO |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782324321 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
34841 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
1539966 |
Total Medicare Allowed Amount |
759152.92 |
Total Medicare Payment Amount |
574938.59 |
Total Medicare Standardized Payment Amount |
578842.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
32033 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
998095.55 |
Total Drug Medicare AllowedAmount |
521882.17 |
Total Drug Medicare PaymentAmount |
404065.2 |
Total Drug Medicare Standardized Payment Amount |
404065.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2808 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
541870.45 |
Total Medical Medicare Allowed Amount |
237270.75 |
Total Medical Medicare Payment Amount |
170873.39 |
Total Medical Medicare Standardized Payment Amount |
174777.77 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
387 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2422 |