National Provider Identifier [NPI]: |
1023221959 |
Last Name Of The Provider |
ANDERSON |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12201 RENFERT WAY |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787585354 |
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 |
41 |
Number Of Services |
1862 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
503222.18 |
Total Medicare Allowed Amount |
188654.24 |
Total Medicare Payment Amount |
142585.72 |
Total Medicare Standardized Payment Amount |
147748.21 |
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 |
41 |
Number Of Medical Services |
1862 |
Number Of Medicare Beneficiaries With Medical Services |
554 |
Total Medical Submitted Charge Amount |
503222.18 |
Total Medical Medicare Allowed Amount |
188654.24 |
Total Medical Medicare Payment Amount |
142585.72 |
Total Medical Medicare Standardized Payment Amount |
147748.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
41 |
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 |
452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3901 |