National Provider Identifier [NPI]: |
1396937280 |
Last Name Of The Provider |
CHANDLER |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4214 ANDREWS HWY |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
797034822 |
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 |
76 |
Number Of Services |
6423 |
Number Of Medicare Beneficiaries |
893 |
Total Submitted Charge Amount |
840627 |
Total Medicare Allowed Amount |
322241.11 |
Total Medicare Payment Amount |
227762.76 |
Total Medicare Standardized Payment Amount |
240916.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
16602 |
Total Drug Medicare AllowedAmount |
8950.69 |
Total Drug Medicare PaymentAmount |
6820.41 |
Total Drug Medicare Standardized Payment Amount |
6820.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
6362 |
Number Of Medicare Beneficiaries With Medical Services |
893 |
Total Medical Submitted Charge Amount |
824025 |
Total Medical Medicare Allowed Amount |
313290.42 |
Total Medical Medicare Payment Amount |
220942.35 |
Total Medical Medicare Standardized Payment Amount |
234096.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
843 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
862 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8405 |