National Provider Identifier [NPI]: |
1558440180 |
Last Name Of The Provider |
HENDRIX |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2709 W KINGSHIGHWAY |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
PARAGOULD |
Zip Code Of The Provider |
724502604 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
6138 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
508493.93 |
Total Medicare Allowed Amount |
248320.95 |
Total Medicare Payment Amount |
182975.75 |
Total Medicare Standardized Payment Amount |
223843.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
486 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
8025 |
Total Drug Medicare AllowedAmount |
2751.66 |
Total Drug Medicare PaymentAmount |
2408.04 |
Total Drug Medicare Standardized Payment Amount |
2408.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5652 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
500468.93 |
Total Medical Medicare Allowed Amount |
245569.29 |
Total Medical Medicare Payment Amount |
180567.71 |
Total Medical Medicare Standardized Payment Amount |
221435.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
303 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4442 |