National Provider Identifier [NPI]: |
1073593091 |
Last Name Of The Provider |
HEMMERT |
First Name Of The Provider |
JEROME |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
227 W KLEBERG AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KINGSVILLE |
Zip Code Of The Provider |
783634427 |
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 |
105 |
Number Of Services |
5047 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
416009.83 |
Total Medicare Allowed Amount |
217603.72 |
Total Medicare Payment Amount |
148604.51 |
Total Medicare Standardized Payment Amount |
157788.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
467 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
15355.75 |
Total Drug Medicare AllowedAmount |
2978.1 |
Total Drug Medicare PaymentAmount |
2546.68 |
Total Drug Medicare Standardized Payment Amount |
2546.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
4580 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
400654.08 |
Total Medical Medicare Allowed Amount |
214625.62 |
Total Medical Medicare Payment Amount |
146057.83 |
Total Medical Medicare Standardized Payment Amount |
155242.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
255 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
418 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1994 |