National Provider Identifier [NPI]: |
1922056845 |
Last Name Of The Provider |
RUSHING |
First Name Of The Provider |
GINA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5005 LIVE OAK ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
75402 |
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 |
64 |
Number Of Services |
7766 |
Number Of Medicare Beneficiaries |
1017 |
Total Submitted Charge Amount |
951159.78 |
Total Medicare Allowed Amount |
565335.36 |
Total Medicare Payment Amount |
414228.6 |
Total Medicare Standardized Payment Amount |
434536.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1107 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
20976 |
Total Drug Medicare AllowedAmount |
2775.58 |
Total Drug Medicare PaymentAmount |
2441.85 |
Total Drug Medicare Standardized Payment Amount |
2441.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
6659 |
Number Of Medicare Beneficiaries With Medical Services |
1017 |
Total Medical Submitted Charge Amount |
930183.78 |
Total Medical Medicare Allowed Amount |
562559.78 |
Total Medical Medicare Payment Amount |
411786.75 |
Total Medical Medicare Standardized Payment Amount |
432094.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
266 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
876 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
532 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
485 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7139 |