National Provider Identifier [NPI]: |
1053318410 |
Last Name Of The Provider |
SIMMONS |
First Name Of The Provider |
CECIL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
351 N SAM HOUSTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN BENITO |
Zip Code Of The Provider |
785864656 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
6264 |
Number Of Medicare Beneficiaries |
746 |
Total Submitted Charge Amount |
380725.06 |
Total Medicare Allowed Amount |
204305.19 |
Total Medicare Payment Amount |
143260.53 |
Total Medicare Standardized Payment Amount |
150608.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
1532 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
25088.75 |
Total Drug Medicare AllowedAmount |
8159.22 |
Total Drug Medicare PaymentAmount |
7238.31 |
Total Drug Medicare Standardized Payment Amount |
7238.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4732 |
Number Of Medicare Beneficiaries With Medical Services |
746 |
Total Medical Submitted Charge Amount |
355636.31 |
Total Medical Medicare Allowed Amount |
196145.97 |
Total Medical Medicare Payment Amount |
136022.22 |
Total Medical Medicare Standardized Payment Amount |
143370.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
564 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
407 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.263 |