National Provider Identifier [NPI]: |
1538154059 |
Last Name Of The Provider |
HEIN |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3226 S ALAMEDA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042508 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
218 |
Number Of Services |
8290 |
Number Of Medicare Beneficiaries |
1334 |
Total Submitted Charge Amount |
468450.85 |
Total Medicare Allowed Amount |
183970.88 |
Total Medicare Payment Amount |
140026.08 |
Total Medicare Standardized Payment Amount |
148540.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6003 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
3435.3 |
Total Drug Medicare AllowedAmount |
1409.42 |
Total Drug Medicare PaymentAmount |
1104.86 |
Total Drug Medicare Standardized Payment Amount |
1104.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
215 |
Number Of Medical Services |
2287 |
Number Of Medicare Beneficiaries With Medical Services |
1334 |
Total Medical Submitted Charge Amount |
465015.55 |
Total Medical Medicare Allowed Amount |
182561.46 |
Total Medical Medicare Payment Amount |
138921.22 |
Total Medical Medicare Standardized Payment Amount |
147436.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
682 |
Number Of Male Beneficiaries |
652 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
724 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
747 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
587 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.0238 |