National Provider Identifier [NPI]: |
1891791695 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7125 NEW SANGER AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WACO |
Zip Code Of The Provider |
767124054 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
12342 |
Number Of Medicare Beneficiaries |
3697 |
Total Submitted Charge Amount |
4635120.09 |
Total Medicare Allowed Amount |
725350.06 |
Total Medicare Payment Amount |
536019.68 |
Total Medicare Standardized Payment Amount |
571862.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3531 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
40839 |
Total Drug Medicare AllowedAmount |
9581 |
Total Drug Medicare PaymentAmount |
7273.39 |
Total Drug Medicare Standardized Payment Amount |
7273.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
8811 |
Number Of Medicare Beneficiaries With Medical Services |
3697 |
Total Medical Submitted Charge Amount |
4594281.09 |
Total Medical Medicare Allowed Amount |
715769.06 |
Total Medical Medicare Payment Amount |
528746.29 |
Total Medical Medicare Standardized Payment Amount |
564588.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
645 |
Number Of Beneficiaries Age 65 to 74 |
1226 |
Number Of Beneficiaries Age 75 to 84 |
1098 |
Number Of Beneficiaries Age Greater 84 |
728 |
Number Of Female Beneficiaries |
1941 |
Number Of Male Beneficiaries |
1756 |
Number Of Non Hispanic White Beneficiaries |
2888 |
Number Of Black or African American Beneficiaries |
482 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
297 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
2780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
917 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6904 |