National Provider Identifier [NPI]: |
1821185703 |
Last Name Of The Provider |
LANINGHAM |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4015 INTERSTATE 45 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONROE |
Zip Code Of The Provider |
773044901 |
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 |
105 |
Number Of Services |
18425 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
1455570.2 |
Total Medicare Allowed Amount |
547258.95 |
Total Medicare Payment Amount |
394189.76 |
Total Medicare Standardized Payment Amount |
408873.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
7716 |
Number Of Medicare Beneficiaries With Drug Services |
541 |
Total Drug Submitted ChargeAmount |
96815.2 |
Total Drug Medicare AllowedAmount |
18987.6 |
Total Drug Medicare PaymentAmount |
15120.52 |
Total Drug Medicare Standardized Payment Amount |
15120.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
10709 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
1358755 |
Total Medical Medicare Allowed Amount |
528271.35 |
Total Medical Medicare Payment Amount |
379069.24 |
Total Medical Medicare Standardized Payment Amount |
393752.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
29 |
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 |
689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0455 |