National Provider Identifier [NPI]: |
1891775284 |
Last Name Of The Provider |
SINGLETON |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7909 FREDERICKSBURG RD |
Street Address 2 Of The Provider |
SUITE#120 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293425 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
10310 |
Number Of Medicare Beneficiaries |
1156 |
Total Submitted Charge Amount |
948578.73 |
Total Medicare Allowed Amount |
353022.56 |
Total Medicare Payment Amount |
264140.87 |
Total Medicare Standardized Payment Amount |
278983.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2989 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
173732 |
Total Drug Medicare AllowedAmount |
67343.56 |
Total Drug Medicare PaymentAmount |
51411.65 |
Total Drug Medicare Standardized Payment Amount |
51411.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
7321 |
Number Of Medicare Beneficiaries With Medical Services |
1156 |
Total Medical Submitted Charge Amount |
774846.73 |
Total Medical Medicare Allowed Amount |
285679 |
Total Medical Medicare Payment Amount |
212729.22 |
Total Medical Medicare Standardized Payment Amount |
227571.63 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
499 |
Number Of Beneficiaries Age 75 to 84 |
440 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
992 |
Number Of Non Hispanic White Beneficiaries |
964 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0782 |