National Provider Identifier [NPI]: |
1588640213 |
Last Name Of The Provider |
MCKENZIE |
First Name Of The Provider |
MARCUS |
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 |
6601 PRESTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750242502 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
6457 |
Number Of Medicare Beneficiaries |
1975 |
Total Submitted Charge Amount |
1269547.93 |
Total Medicare Allowed Amount |
479763.34 |
Total Medicare Payment Amount |
358429.15 |
Total Medicare Standardized Payment Amount |
385500.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
806 |
Number Of Medicare Beneficiaries With Drug Services |
228 |
Total Drug Submitted ChargeAmount |
70953.6 |
Total Drug Medicare AllowedAmount |
42164.33 |
Total Drug Medicare PaymentAmount |
32393.75 |
Total Drug Medicare Standardized Payment Amount |
32393.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5651 |
Number Of Medicare Beneficiaries With Medical Services |
1975 |
Total Medical Submitted Charge Amount |
1198594.33 |
Total Medical Medicare Allowed Amount |
437599.01 |
Total Medical Medicare Payment Amount |
326035.4 |
Total Medical Medicare Standardized Payment Amount |
353106.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
966 |
Number Of Beneficiaries Age 75 to 84 |
703 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
902 |
Number Of Male Beneficiaries |
1073 |
Number Of Non Hispanic White Beneficiaries |
1768 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1872 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4215 |