National Provider Identifier [NPI]: |
1336126119 |
Last Name Of The Provider |
BARKER |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8300 FLOYD CURL DR |
Street Address 2 Of The Provider |
1ST FL |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293931 |
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 |
18 |
Number Of Services |
167 |
Number Of Medicare Beneficiaries |
47 |
Total Submitted Charge Amount |
31138 |
Total Medicare Allowed Amount |
14592.43 |
Total Medicare Payment Amount |
10535.22 |
Total Medicare Standardized Payment Amount |
11233.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1286 |
Total Drug Medicare AllowedAmount |
678.51 |
Total Drug Medicare PaymentAmount |
664.91 |
Total Drug Medicare Standardized Payment Amount |
664.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
150 |
Number Of Medicare Beneficiaries With Medical Services |
47 |
Total Medical Submitted Charge Amount |
29852 |
Total Medical Medicare Allowed Amount |
13913.92 |
Total Medical Medicare Payment Amount |
9870.31 |
Total Medical Medicare Standardized Payment Amount |
10568.4 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
26 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
26 |
Number Of Male Beneficiaries |
21 |
Number Of Non Hispanic White Beneficiaries |
22 |
Number Of Black or African American Beneficiaries |
|
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 |
36 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
0 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0159 |