National Provider Identifier [NPI]: |
1497783849 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 MURCHISON DR |
Street Address 2 Of The Provider |
SUITE 215 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799022931 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
7020 |
Number Of Medicare Beneficiaries |
1553 |
Total Submitted Charge Amount |
483554.2 |
Total Medicare Allowed Amount |
332707.84 |
Total Medicare Payment Amount |
228732.7 |
Total Medicare Standardized Payment Amount |
243328.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
247 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1598.47 |
Total Drug Medicare AllowedAmount |
367.78 |
Total Drug Medicare PaymentAmount |
259.9 |
Total Drug Medicare Standardized Payment Amount |
259.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6773 |
Number Of Medicare Beneficiaries With Medical Services |
1553 |
Total Medical Submitted Charge Amount |
481955.73 |
Total Medical Medicare Allowed Amount |
332340.06 |
Total Medical Medicare Payment Amount |
228472.8 |
Total Medical Medicare Standardized Payment Amount |
243068.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
575 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
806 |
Number Of Male Beneficiaries |
747 |
Number Of Non Hispanic White Beneficiaries |
1127 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
377 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.976 |