National Provider Identifier [NPI]: |
1194728865 |
Last Name Of The Provider |
BUCHANAN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1209 MEDICAL PLAZA CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANBURY |
Zip Code Of The Provider |
760485684 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
6944 |
Number Of Medicare Beneficiaries |
1180 |
Total Submitted Charge Amount |
1735675 |
Total Medicare Allowed Amount |
597713.52 |
Total Medicare Payment Amount |
453018.1 |
Total Medicare Standardized Payment Amount |
475622.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
827 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
274977 |
Total Drug Medicare AllowedAmount |
66549.11 |
Total Drug Medicare PaymentAmount |
52071.83 |
Total Drug Medicare Standardized Payment Amount |
52071.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
6117 |
Number Of Medicare Beneficiaries With Medical Services |
1180 |
Total Medical Submitted Charge Amount |
1460698 |
Total Medical Medicare Allowed Amount |
531164.41 |
Total Medical Medicare Payment Amount |
400946.27 |
Total Medical Medicare Standardized Payment Amount |
423550.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
832 |
Number Of Non Hispanic White Beneficiaries |
1134 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2064 |