National Provider Identifier [NPI]: |
1477767226 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
KIM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4545 POST OAK PLACE DR |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770273164 |
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 |
23 |
Number Of Services |
1303 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
280923 |
Total Medicare Allowed Amount |
140861.54 |
Total Medicare Payment Amount |
109494.74 |
Total Medicare Standardized Payment Amount |
108740.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1303 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
280923 |
Total Medical Medicare Allowed Amount |
140861.54 |
Total Medical Medicare Payment Amount |
109494.74 |
Total Medical Medicare Standardized Payment Amount |
108740.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
245 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.3335 |