National Provider Identifier [NPI]: |
1215926878 |
Last Name Of The Provider |
PURPURA |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1665 ANTILLEY RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796065265 |
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 |
149 |
Number Of Services |
11729 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
803903.25 |
Total Medicare Allowed Amount |
395358.13 |
Total Medicare Payment Amount |
285273.44 |
Total Medicare Standardized Payment Amount |
302309.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
5387 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
42608.25 |
Total Drug Medicare AllowedAmount |
18528.61 |
Total Drug Medicare PaymentAmount |
13983.97 |
Total Drug Medicare Standardized Payment Amount |
13983.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
6342 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
761295 |
Total Medical Medicare Allowed Amount |
376829.52 |
Total Medical Medicare Payment Amount |
271289.47 |
Total Medical Medicare Standardized Payment Amount |
288325.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
597 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1773 |