National Provider Identifier [NPI]: |
1457346819 |
Last Name Of The Provider |
HOPE |
First Name Of The Provider |
RICHARD |
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 |
3601 22ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794101309 |
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 |
116 |
Number Of Services |
17124 |
Number Of Medicare Beneficiaries |
2167 |
Total Submitted Charge Amount |
1223209.83 |
Total Medicare Allowed Amount |
1070674.31 |
Total Medicare Payment Amount |
777688.94 |
Total Medicare Standardized Payment Amount |
792733.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
230 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
8725.89 |
Total Drug Medicare AllowedAmount |
8502.89 |
Total Drug Medicare PaymentAmount |
6438.68 |
Total Drug Medicare Standardized Payment Amount |
6438.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
16894 |
Number Of Medicare Beneficiaries With Medical Services |
2167 |
Total Medical Submitted Charge Amount |
1214483.94 |
Total Medical Medicare Allowed Amount |
1062171.42 |
Total Medical Medicare Payment Amount |
771250.26 |
Total Medical Medicare Standardized Payment Amount |
786294.69 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
827 |
Number Of Beneficiaries Age 75 to 84 |
913 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
952 |
Number Of Male Beneficiaries |
1215 |
Number Of Non Hispanic White Beneficiaries |
2081 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.026 |