National Provider Identifier [NPI]: |
1114981529 |
Last Name Of The Provider |
PAXTON |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 S CAPITAL OF TEXAS HWY BLDG 3 |
Street Address 2 Of The Provider |
FIRST FLOOR |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787466446 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
9476 |
Number Of Medicare Beneficiaries |
493 |
Total Submitted Charge Amount |
269239.5 |
Total Medicare Allowed Amount |
259869.89 |
Total Medicare Payment Amount |
212272.23 |
Total Medicare Standardized Payment Amount |
216247.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1444 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
29153.06 |
Total Drug Medicare AllowedAmount |
29124.09 |
Total Drug Medicare PaymentAmount |
25263.9 |
Total Drug Medicare Standardized Payment Amount |
25263.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
8032 |
Number Of Medicare Beneficiaries With Medical Services |
493 |
Total Medical Submitted Charge Amount |
240086.44 |
Total Medical Medicare Allowed Amount |
230745.8 |
Total Medical Medicare Payment Amount |
187008.33 |
Total Medical Medicare Standardized Payment Amount |
190983.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0143 |