National Provider Identifier [NPI]: |
1407856362 |
Last Name Of The Provider |
BUESCHER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
219 EASTWOOD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIVINGSTON |
Zip Code Of The Provider |
773513342 |
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 |
114 |
Number Of Services |
6839 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
424241.99 |
Total Medicare Allowed Amount |
233304.09 |
Total Medicare Payment Amount |
175383.96 |
Total Medicare Standardized Payment Amount |
183848.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1043 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
25292.41 |
Total Drug Medicare AllowedAmount |
8884.14 |
Total Drug Medicare PaymentAmount |
8041.06 |
Total Drug Medicare Standardized Payment Amount |
8041.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5796 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
398949.58 |
Total Medical Medicare Allowed Amount |
224419.95 |
Total Medical Medicare Payment Amount |
167342.9 |
Total Medical Medicare Standardized Payment Amount |
175807.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
346 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9874 |