National Provider Identifier [NPI]: |
1437137502 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1518 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA FALLS |
Zip Code Of The Provider |
763014405 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
4228 |
Number Of Medicare Beneficiaries |
566 |
Total Submitted Charge Amount |
1440905.28 |
Total Medicare Allowed Amount |
360779.96 |
Total Medicare Payment Amount |
275535.66 |
Total Medicare Standardized Payment Amount |
288261.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2248 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
100642 |
Total Drug Medicare AllowedAmount |
49369.04 |
Total Drug Medicare PaymentAmount |
38501.72 |
Total Drug Medicare Standardized Payment Amount |
38501.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
161 |
Number Of Medical Services |
1980 |
Number Of Medicare Beneficiaries With Medical Services |
566 |
Total Medical Submitted Charge Amount |
1340263.28 |
Total Medical Medicare Allowed Amount |
311410.92 |
Total Medical Medicare Payment Amount |
237033.94 |
Total Medical Medicare Standardized Payment Amount |
249760.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
383 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3203 |