National Provider Identifier [NPI]: |
1982753356 |
Last Name Of The Provider |
MCADOO |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044917 |
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 |
226 |
Number Of Services |
9155 |
Number Of Medicare Beneficiaries |
3080 |
Total Submitted Charge Amount |
804317.24 |
Total Medicare Allowed Amount |
259184.38 |
Total Medicare Payment Amount |
200869.63 |
Total Medicare Standardized Payment Amount |
211219.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
9155 |
Number Of Medicare Beneficiaries With Medical Services |
3080 |
Total Medical Submitted Charge Amount |
804317.24 |
Total Medical Medicare Allowed Amount |
259184.38 |
Total Medical Medicare Payment Amount |
200869.63 |
Total Medical Medicare Standardized Payment Amount |
211219.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
518 |
Number Of Beneficiaries Age 65 to 74 |
1079 |
Number Of Beneficiaries Age 75 to 84 |
957 |
Number Of Beneficiaries Age Greater 84 |
526 |
Number Of Female Beneficiaries |
1886 |
Number Of Male Beneficiaries |
1194 |
Number Of Non Hispanic White Beneficiaries |
278 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
2770 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1785 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9549 |