National Provider Identifier [NPI]: |
1669506663 |
Last Name Of The Provider |
APISARNTHANARAX |
First Name Of The Provider |
NARIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
450 MEDICAL CENTER BLVD STE 309 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEBSTER |
Zip Code Of The Provider |
775984230 |
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 |
65 |
Number Of Services |
5657 |
Number Of Medicare Beneficiaries |
656 |
Total Submitted Charge Amount |
600566 |
Total Medicare Allowed Amount |
294996.97 |
Total Medicare Payment Amount |
213927.71 |
Total Medicare Standardized Payment Amount |
210684.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
19630 |
Total Drug Medicare AllowedAmount |
19291.69 |
Total Drug Medicare PaymentAmount |
15033.62 |
Total Drug Medicare Standardized Payment Amount |
15033.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5531 |
Number Of Medicare Beneficiaries With Medical Services |
656 |
Total Medical Submitted Charge Amount |
580936 |
Total Medical Medicare Allowed Amount |
275705.28 |
Total Medical Medicare Payment Amount |
198894.09 |
Total Medical Medicare Standardized Payment Amount |
195651.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0066 |