National Provider Identifier [NPI]: |
1760686950 |
Last Name Of The Provider |
BRESSLER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
815 PENNSYLVANIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761042224 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
4131 |
Number Of Medicare Beneficiaries |
2341 |
Total Submitted Charge Amount |
501681.6 |
Total Medicare Allowed Amount |
122591.75 |
Total Medicare Payment Amount |
90109.12 |
Total Medicare Standardized Payment Amount |
93346.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
904 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1002 |
Total Drug Medicare AllowedAmount |
244.5 |
Total Drug Medicare PaymentAmount |
191.68 |
Total Drug Medicare Standardized Payment Amount |
191.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
3227 |
Number Of Medicare Beneficiaries With Medical Services |
2341 |
Total Medical Submitted Charge Amount |
500679.6 |
Total Medical Medicare Allowed Amount |
122347.25 |
Total Medical Medicare Payment Amount |
89917.44 |
Total Medical Medicare Standardized Payment Amount |
93154.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
455 |
Number Of Beneficiaries Age 65 to 74 |
857 |
Number Of Beneficiaries Age 75 to 84 |
658 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
1323 |
Number Of Male Beneficiaries |
1018 |
Number Of Non Hispanic White Beneficiaries |
1805 |
Number Of Black or African American Beneficiaries |
277 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
217 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
640 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3698 |