National Provider Identifier [NPI]: |
1356582886 |
Last Name Of The Provider |
CUNNINGHAM |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 MEDICAL CENTER BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CONROE |
Zip Code Of The Provider |
773042888 |
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 |
98 |
Number Of Services |
5427 |
Number Of Medicare Beneficiaries |
998 |
Total Submitted Charge Amount |
1445285.94 |
Total Medicare Allowed Amount |
419654.02 |
Total Medicare Payment Amount |
313648.61 |
Total Medicare Standardized Payment Amount |
334712.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1589 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
27033 |
Total Drug Medicare AllowedAmount |
9411.13 |
Total Drug Medicare PaymentAmount |
7382.99 |
Total Drug Medicare Standardized Payment Amount |
7382.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
3838 |
Number Of Medicare Beneficiaries With Medical Services |
998 |
Total Medical Submitted Charge Amount |
1418252.94 |
Total Medical Medicare Allowed Amount |
410242.89 |
Total Medical Medicare Payment Amount |
306265.62 |
Total Medical Medicare Standardized Payment Amount |
327329.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
881 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8513 |