National Provider Identifier [NPI]: |
1346342003 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 E ANN ARBOR AVE |
Street Address 2 Of The Provider |
RESIDENT AND COMMUNITY RELATIONS |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752166718 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
6189 |
Number Of Medicare Beneficiaries |
533 |
Total Submitted Charge Amount |
400392.81 |
Total Medicare Allowed Amount |
393402.96 |
Total Medicare Payment Amount |
294500.64 |
Total Medicare Standardized Payment Amount |
300289.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
1621.88 |
Total Drug Medicare AllowedAmount |
1595.2 |
Total Drug Medicare PaymentAmount |
1558.16 |
Total Drug Medicare Standardized Payment Amount |
1558.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
6086 |
Number Of Medicare Beneficiaries With Medical Services |
533 |
Total Medical Submitted Charge Amount |
398770.93 |
Total Medical Medicare Allowed Amount |
391807.76 |
Total Medical Medicare Payment Amount |
292942.48 |
Total Medical Medicare Standardized Payment Amount |
298731.23 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
185 |
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
58 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3575 |