Medicare Facts for Dr. Cecil R. Simmons, MD


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

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