National Provider Identifier [NPI]: |
1649353509 |
Last Name Of The Provider |
AULER |
First Name Of The Provider |
MARK |
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 |
12554 RIATA VISTA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787276431 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
7638 |
Number Of Medicare Beneficiaries |
1812 |
Total Submitted Charge Amount |
923423.8 |
Total Medicare Allowed Amount |
244278 |
Total Medicare Payment Amount |
187380.02 |
Total Medicare Standardized Payment Amount |
193702.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4962 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
21772.8 |
Total Drug Medicare AllowedAmount |
3362.57 |
Total Drug Medicare PaymentAmount |
2556.96 |
Total Drug Medicare Standardized Payment Amount |
2556.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
2676 |
Number Of Medicare Beneficiaries With Medical Services |
1812 |
Total Medical Submitted Charge Amount |
901651 |
Total Medical Medicare Allowed Amount |
240915.43 |
Total Medical Medicare Payment Amount |
184823.06 |
Total Medical Medicare Standardized Payment Amount |
191145.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
675 |
Number Of Beneficiaries Age 75 to 84 |
518 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
1037 |
Number Of Male Beneficiaries |
775 |
Number Of Non Hispanic White Beneficiaries |
1337 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
247 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.6734 |