National Provider Identifier [NPI]: |
1386616753 |
Last Name Of The Provider |
HOCKETT |
First Name Of The Provider |
SHERI |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MARIE CURIE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
75042 |
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 |
175 |
Number Of Services |
5967 |
Number Of Medicare Beneficiaries |
3098 |
Total Submitted Charge Amount |
554496.32 |
Total Medicare Allowed Amount |
154822.91 |
Total Medicare Payment Amount |
123683.68 |
Total Medicare Standardized Payment Amount |
124873.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
5967 |
Number Of Medicare Beneficiaries With Medical Services |
3098 |
Total Medical Submitted Charge Amount |
554496.32 |
Total Medical Medicare Allowed Amount |
154822.91 |
Total Medical Medicare Payment Amount |
123683.68 |
Total Medical Medicare Standardized Payment Amount |
124873.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
487 |
Number Of Beneficiaries Age 65 to 74 |
1201 |
Number Of Beneficiaries Age 75 to 84 |
937 |
Number Of Beneficiaries Age Greater 84 |
473 |
Number Of Female Beneficiaries |
2181 |
Number Of Male Beneficiaries |
917 |
Number Of Non Hispanic White Beneficiaries |
2085 |
Number Of Black or African American Beneficiaries |
387 |
Number Of AsianPacific Islander Beneficiaries |
321 |
Number Of Hispanic Beneficiaries |
279 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
920 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7092 |