National Provider Identifier [NPI]: |
1538360102 |
Last Name Of The Provider |
HARRINGTON |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
209 N BONNIE BRAE ST |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
DENTON |
Zip Code Of The Provider |
762013708 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
12931 |
Number Of Medicare Beneficiaries |
1664 |
Total Submitted Charge Amount |
1013351 |
Total Medicare Allowed Amount |
492660.83 |
Total Medicare Payment Amount |
343231.22 |
Total Medicare Standardized Payment Amount |
357571.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
28395 |
Total Drug Medicare AllowedAmount |
22194.2 |
Total Drug Medicare PaymentAmount |
16981.19 |
Total Drug Medicare Standardized Payment Amount |
16981.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
12729 |
Number Of Medicare Beneficiaries With Medical Services |
1664 |
Total Medical Submitted Charge Amount |
984956 |
Total Medical Medicare Allowed Amount |
470466.63 |
Total Medical Medicare Payment Amount |
326250.03 |
Total Medical Medicare Standardized Payment Amount |
340590.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
1024 |
Number Of Beneficiaries Age 75 to 84 |
470 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
964 |
Number Of Male Beneficiaries |
700 |
Number Of Non Hispanic White Beneficiaries |
1626 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8171 |