National Provider Identifier [NPI]: |
1659480549 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7030 NEW SANGER AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
WACO |
Zip Code Of The Provider |
767124075 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
20448 |
Number Of Medicare Beneficiaries |
410 |
Total Submitted Charge Amount |
1025560 |
Total Medicare Allowed Amount |
339648.74 |
Total Medicare Payment Amount |
263103.19 |
Total Medicare Standardized Payment Amount |
280266.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
17158 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
342571 |
Total Drug Medicare AllowedAmount |
54070.32 |
Total Drug Medicare PaymentAmount |
42523.9 |
Total Drug Medicare Standardized Payment Amount |
42523.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3290 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
682989 |
Total Medical Medicare Allowed Amount |
285578.42 |
Total Medical Medicare Payment Amount |
220579.29 |
Total Medical Medicare Standardized Payment Amount |
237742.12 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.0089 |