National Provider Identifier [NPI]: |
1154322386 |
Last Name Of The Provider |
AUSLOOS |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 GASTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752461808 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5251 |
Number Of Medicare Beneficiaries |
936 |
Total Submitted Charge Amount |
950277.5 |
Total Medicare Allowed Amount |
371345.58 |
Total Medicare Payment Amount |
276213.59 |
Total Medicare Standardized Payment Amount |
264723.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1280 |
Total Drug Medicare AllowedAmount |
790.58 |
Total Drug Medicare PaymentAmount |
774.7 |
Total Drug Medicare Standardized Payment Amount |
774.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5216 |
Number Of Medicare Beneficiaries With Medical Services |
936 |
Total Medical Submitted Charge Amount |
948997.5 |
Total Medical Medicare Allowed Amount |
370555 |
Total Medical Medicare Payment Amount |
275438.89 |
Total Medical Medicare Standardized Payment Amount |
263948.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
752 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
810 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9908 |