Medicare Facts for Dr. John C. Higgins, MD


National Provider Identifier [NPI]: 1316033962
Last Name Of The Provider HIGGINS
First Name Of The Provider JOHN
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 6431 FANNIN ST
Street Address 2 Of The Provider MSB 4.262
City Of The Provider HOUSTON
Zip Code Of The Provider 770301501
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 978
Number Of Medicare Beneficiaries 566
Total Submitted Charge Amount 81320
Total Medicare Allowed Amount 21434.44
Total Medicare Payment Amount 16501.38
Total Medicare Standardized Payment Amount 16364.34
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 978
Number Of Medicare Beneficiaries With Medical Services 566
Total Medical Submitted Charge Amount 81320
Total Medical Medicare Allowed Amount 21434.44
Total Medical Medicare Payment Amount 16501.38
Total Medical Medicare Standardized Payment Amount 16364.34
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 250
Number Of Beneficiaries Age 65 to 74 204
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 283
Number Of Male Beneficiaries 283
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 350
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 116
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 236
Number Of Beneficiaries With Medicare Medicaid Entitlement 330
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 19
Percent Of With Cancer 11
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 45
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 34
Percent Of With Diabetes 55
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.4458

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