National Provider Identifier [NPI]: |
1528057379 |
Last Name Of The Provider |
CHAFFIN |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6200 I-40 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062512 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
6990 |
Number Of Medicare Beneficiaries |
1546 |
Total Submitted Charge Amount |
2017844.32 |
Total Medicare Allowed Amount |
754505.14 |
Total Medicare Payment Amount |
564216.17 |
Total Medicare Standardized Payment Amount |
591005.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
799 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
45973 |
Total Drug Medicare AllowedAmount |
35782.7 |
Total Drug Medicare PaymentAmount |
28053.66 |
Total Drug Medicare Standardized Payment Amount |
28053.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
6191 |
Number Of Medicare Beneficiaries With Medical Services |
1546 |
Total Medical Submitted Charge Amount |
1971871.32 |
Total Medical Medicare Allowed Amount |
718722.44 |
Total Medical Medicare Payment Amount |
536162.51 |
Total Medical Medicare Standardized Payment Amount |
562952.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
580 |
Number Of Beneficiaries Age 75 to 84 |
621 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
785 |
Number Of Male Beneficiaries |
761 |
Number Of Non Hispanic White Beneficiaries |
1432 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1425 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3163 |