National Provider Identifier [NPI]: |
1760656011 |
Last Name Of The Provider |
DARNULE |
First Name Of The Provider |
AMIT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1545 E SOUTHLAKE BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SOUTHLAKE |
Zip Code Of The Provider |
760926422 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2257 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
1460303.51 |
Total Medicare Allowed Amount |
208889.72 |
Total Medicare Payment Amount |
154100.26 |
Total Medicare Standardized Payment Amount |
149530.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
1290 |
Total Drug Medicare AllowedAmount |
185.42 |
Total Drug Medicare PaymentAmount |
131.82 |
Total Drug Medicare Standardized Payment Amount |
131.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2200 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
1459013.51 |
Total Medical Medicare Allowed Amount |
208704.3 |
Total Medical Medicare Payment Amount |
153968.44 |
Total Medical Medicare Standardized Payment Amount |
149398.48 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
415 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1419 |