National Provider Identifier [NPI]: |
1679521736 |
Last Name Of The Provider |
MAY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
614 S EDMONDS LN |
Street Address 2 Of The Provider |
STE. 101 |
City Of The Provider |
LEWISVILLE |
Zip Code Of The Provider |
750673624 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
6686 |
Number Of Medicare Beneficiaries |
1331 |
Total Submitted Charge Amount |
547244.52 |
Total Medicare Allowed Amount |
493394.81 |
Total Medicare Payment Amount |
367180.8 |
Total Medicare Standardized Payment Amount |
390509.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
513 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
26300.75 |
Total Drug Medicare AllowedAmount |
25686.38 |
Total Drug Medicare PaymentAmount |
19950.28 |
Total Drug Medicare Standardized Payment Amount |
19950.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6173 |
Number Of Medicare Beneficiaries With Medical Services |
1331 |
Total Medical Submitted Charge Amount |
520943.77 |
Total Medical Medicare Allowed Amount |
467708.43 |
Total Medical Medicare Payment Amount |
347230.52 |
Total Medical Medicare Standardized Payment Amount |
370558.79 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
474 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
633 |
Number Of Male Beneficiaries |
698 |
Number Of Non Hispanic White Beneficiaries |
1204 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3887 |