National Provider Identifier [NPI]: |
1740280999 |
Last Name Of The Provider |
BECK |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7579 N LOOP 1604 W |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782492781 |
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 |
170 |
Number Of Services |
6316 |
Number Of Medicare Beneficiaries |
463 |
Total Submitted Charge Amount |
363861.46 |
Total Medicare Allowed Amount |
166527.22 |
Total Medicare Payment Amount |
125100.77 |
Total Medicare Standardized Payment Amount |
130406.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
1513 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
23592.9 |
Total Drug Medicare AllowedAmount |
8896.19 |
Total Drug Medicare PaymentAmount |
7090.99 |
Total Drug Medicare Standardized Payment Amount |
7090.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
4803 |
Number Of Medicare Beneficiaries With Medical Services |
463 |
Total Medical Submitted Charge Amount |
340268.56 |
Total Medical Medicare Allowed Amount |
157631.03 |
Total Medical Medicare Payment Amount |
118009.78 |
Total Medical Medicare Standardized Payment Amount |
123315.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0891 |