National Provider Identifier [NPI]: |
1194716993 |
Last Name Of The Provider |
FOSTER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
375 MUNICIPAL DR |
Street Address 2 Of The Provider |
SUITE 218 |
City Of The Provider |
RICHARDSON |
Zip Code Of The Provider |
750803559 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3816 |
Number Of Medicare Beneficiaries |
916 |
Total Submitted Charge Amount |
602595 |
Total Medicare Allowed Amount |
356571.19 |
Total Medicare Payment Amount |
272107.1 |
Total Medicare Standardized Payment Amount |
279933.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3395 |
Total Drug Medicare AllowedAmount |
2232.32 |
Total Drug Medicare PaymentAmount |
2043.15 |
Total Drug Medicare Standardized Payment Amount |
2043.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3675 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
599200 |
Total Medical Medicare Allowed Amount |
354338.87 |
Total Medical Medicare Payment Amount |
270063.95 |
Total Medical Medicare Standardized Payment Amount |
277890 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7994 |