National Provider Identifier [NPI]: |
1326035643 |
Last Name Of The Provider |
MORALES |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6601 PRESTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750242502 |
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 |
90 |
Number Of Services |
6405 |
Number Of Medicare Beneficiaries |
1421 |
Total Submitted Charge Amount |
613641 |
Total Medicare Allowed Amount |
244722.99 |
Total Medicare Payment Amount |
180032.46 |
Total Medicare Standardized Payment Amount |
193543.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3020 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
9060 |
Total Drug Medicare AllowedAmount |
539.68 |
Total Drug Medicare PaymentAmount |
423.14 |
Total Drug Medicare Standardized Payment Amount |
423.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3385 |
Number Of Medicare Beneficiaries With Medical Services |
1420 |
Total Medical Submitted Charge Amount |
604581 |
Total Medical Medicare Allowed Amount |
244183.31 |
Total Medical Medicare Payment Amount |
179609.32 |
Total Medical Medicare Standardized Payment Amount |
193120.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
606 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
748 |
Number Of Non Hispanic White Beneficiaries |
1266 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6413 |