National Provider Identifier [NPI]: |
1477505998 |
Last Name Of The Provider |
DOWNING |
First Name Of The Provider |
GREGORY |
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 |
122 W CASTELLANO DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799126170 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
3501 |
Number Of Medicare Beneficiaries |
1503 |
Total Submitted Charge Amount |
848960.77 |
Total Medicare Allowed Amount |
272539.44 |
Total Medicare Payment Amount |
223945.86 |
Total Medicare Standardized Payment Amount |
244635.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
794 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
15535 |
Total Drug Medicare AllowedAmount |
1474.22 |
Total Drug Medicare PaymentAmount |
1117.31 |
Total Drug Medicare Standardized Payment Amount |
1117.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
2707 |
Number Of Medicare Beneficiaries With Medical Services |
1502 |
Total Medical Submitted Charge Amount |
833425.77 |
Total Medical Medicare Allowed Amount |
271065.22 |
Total Medical Medicare Payment Amount |
222828.55 |
Total Medical Medicare Standardized Payment Amount |
243517.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
268 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
1128 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
476 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
967 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
534 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1408 |