National Provider Identifier [NPI]: |
1346377710 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 GESSNER RD |
Street Address 2 Of The Provider |
SUITE 900 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242527 |
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 |
70 |
Number Of Services |
4547 |
Number Of Medicare Beneficiaries |
1330 |
Total Submitted Charge Amount |
1223811.47 |
Total Medicare Allowed Amount |
332910.43 |
Total Medicare Payment Amount |
252522.53 |
Total Medicare Standardized Payment Amount |
253268.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1605 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
24196.5 |
Total Drug Medicare AllowedAmount |
13191.77 |
Total Drug Medicare PaymentAmount |
10342.27 |
Total Drug Medicare Standardized Payment Amount |
10342.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2942 |
Number Of Medicare Beneficiaries With Medical Services |
1330 |
Total Medical Submitted Charge Amount |
1199614.97 |
Total Medical Medicare Allowed Amount |
319718.66 |
Total Medical Medicare Payment Amount |
242180.26 |
Total Medical Medicare Standardized Payment Amount |
242925.88 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
487 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
697 |
Number Of Male Beneficiaries |
633 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
158 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1082 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9165 |