National Provider Identifier [NPI]: |
1154353548 |
Last Name Of The Provider |
LAUE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2406 HUNTER RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
SAN MARCOS |
Zip Code Of The Provider |
786665255 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
748 |
Number Of Medicare Beneficiaries |
158 |
Total Submitted Charge Amount |
65947.91 |
Total Medicare Allowed Amount |
46535.57 |
Total Medicare Payment Amount |
30186.66 |
Total Medicare Standardized Payment Amount |
34369.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1262 |
Total Drug Medicare AllowedAmount |
1027.71 |
Total Drug Medicare PaymentAmount |
938.25 |
Total Drug Medicare Standardized Payment Amount |
938.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
700 |
Number Of Medicare Beneficiaries With Medical Services |
158 |
Total Medical Submitted Charge Amount |
64685.91 |
Total Medical Medicare Allowed Amount |
45507.86 |
Total Medical Medicare Payment Amount |
29248.41 |
Total Medical Medicare Standardized Payment Amount |
33431.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
36 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
78 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
121 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.02 |