National Provider Identifier [NPI]: |
1346287547 |
Last Name Of The Provider |
GIESER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
411 N WASHINGTON AVE |
Street Address 2 Of The Provider |
SUITE 7000 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752461713 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
11778 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
1334566 |
Total Medicare Allowed Amount |
460567.9 |
Total Medicare Payment Amount |
351808.59 |
Total Medicare Standardized Payment Amount |
354344.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9097 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
120837 |
Total Drug Medicare AllowedAmount |
30003.56 |
Total Drug Medicare PaymentAmount |
23149.08 |
Total Drug Medicare Standardized Payment Amount |
23149.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2681 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
1213729 |
Total Medical Medicare Allowed Amount |
430564.34 |
Total Medical Medicare Payment Amount |
328659.51 |
Total Medical Medicare Standardized Payment Amount |
331195.59 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
264 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
4.6464 |