National Provider Identifier [NPI]: |
1902096555 |
Last Name Of The Provider |
IMSAIS |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12221 N MO PAC EXPY |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787582401 |
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 |
151 |
Number Of Services |
5945 |
Number Of Medicare Beneficiaries |
1262 |
Total Submitted Charge Amount |
543286.74 |
Total Medicare Allowed Amount |
509761.07 |
Total Medicare Payment Amount |
387745.65 |
Total Medicare Standardized Payment Amount |
392654.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
3408.22 |
Total Drug Medicare AllowedAmount |
3404.65 |
Total Drug Medicare PaymentAmount |
2852.93 |
Total Drug Medicare Standardized Payment Amount |
2852.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
5818 |
Number Of Medicare Beneficiaries With Medical Services |
1261 |
Total Medical Submitted Charge Amount |
539878.52 |
Total Medical Medicare Allowed Amount |
506356.42 |
Total Medical Medicare Payment Amount |
384892.72 |
Total Medical Medicare Standardized Payment Amount |
389801.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
525 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
557 |
Number Of Non Hispanic White Beneficiaries |
1007 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1090 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6532 |