National Provider Identifier [NPI]: |
1295700771 |
Last Name Of The Provider |
TRUAX |
First Name Of The Provider |
ALLAN |
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 |
311 CAMDEN ST |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782152012 |
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 |
192 |
Number Of Services |
11346 |
Number Of Medicare Beneficiaries |
2538 |
Total Submitted Charge Amount |
1038580.5 |
Total Medicare Allowed Amount |
271765.88 |
Total Medicare Payment Amount |
200741.05 |
Total Medicare Standardized Payment Amount |
220264.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7668 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
9724.8 |
Total Drug Medicare AllowedAmount |
2481.56 |
Total Drug Medicare PaymentAmount |
1726.62 |
Total Drug Medicare Standardized Payment Amount |
1726.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
189 |
Number Of Medical Services |
3678 |
Number Of Medicare Beneficiaries With Medical Services |
2538 |
Total Medical Submitted Charge Amount |
1028855.7 |
Total Medical Medicare Allowed Amount |
269284.32 |
Total Medical Medicare Payment Amount |
199014.43 |
Total Medical Medicare Standardized Payment Amount |
218538.12 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
569 |
Number Of Beneficiaries Age 65 to 74 |
1011 |
Number Of Beneficiaries Age 75 to 84 |
628 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
1547 |
Number Of Male Beneficiaries |
991 |
Number Of Non Hispanic White Beneficiaries |
1350 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
936 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1757 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
781 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0714 |