National Provider Identifier [NPI]: |
1912953050 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
618 CLARA BARTON BLVD |
Street Address 2 Of The Provider |
STE 3 |
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
750425750 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
5835 |
Number Of Medicare Beneficiaries |
822 |
Total Submitted Charge Amount |
735545 |
Total Medicare Allowed Amount |
364873.41 |
Total Medicare Payment Amount |
273147.97 |
Total Medicare Standardized Payment Amount |
277476.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1096 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
142410 |
Total Drug Medicare AllowedAmount |
72259.5 |
Total Drug Medicare PaymentAmount |
54766.68 |
Total Drug Medicare Standardized Payment Amount |
54766.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
4739 |
Number Of Medicare Beneficiaries With Medical Services |
822 |
Total Medical Submitted Charge Amount |
593135 |
Total Medical Medicare Allowed Amount |
292613.91 |
Total Medical Medicare Payment Amount |
218381.29 |
Total Medical Medicare Standardized Payment Amount |
222709.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
631 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3277 |