National Provider Identifier [NPI]: |
1184691933 |
Last Name Of The Provider |
BARHORST |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9920 CYPRESSWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770703400 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
4915 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
2298106.79 |
Total Medicare Allowed Amount |
303722.25 |
Total Medicare Payment Amount |
216798.89 |
Total Medicare Standardized Payment Amount |
224555.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1261 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
26603.04 |
Total Drug Medicare AllowedAmount |
11397.71 |
Total Drug Medicare PaymentAmount |
6908.08 |
Total Drug Medicare Standardized Payment Amount |
6908.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3654 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
2271503.75 |
Total Medical Medicare Allowed Amount |
292324.54 |
Total Medical Medicare Payment Amount |
209890.81 |
Total Medical Medicare Standardized Payment Amount |
217647.88 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5316 |