National Provider Identifier [NPI]: |
1952362428 |
Last Name Of The Provider |
KHU |
First Name Of The Provider |
RICHARD |
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 |
1901 MEDI PARK |
Street Address 2 Of The Provider |
STE 2050 |
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062110 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
9863 |
Number Of Medicare Beneficiaries |
5316 |
Total Submitted Charge Amount |
1043548.65 |
Total Medicare Allowed Amount |
214313.84 |
Total Medicare Payment Amount |
162370.16 |
Total Medicare Standardized Payment Amount |
172644.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2296 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
8846.65 |
Total Drug Medicare AllowedAmount |
2209.78 |
Total Drug Medicare PaymentAmount |
1711 |
Total Drug Medicare Standardized Payment Amount |
1711 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
7567 |
Number Of Medicare Beneficiaries With Medical Services |
5316 |
Total Medical Submitted Charge Amount |
1034702 |
Total Medical Medicare Allowed Amount |
212104.06 |
Total Medical Medicare Payment Amount |
160659.16 |
Total Medical Medicare Standardized Payment Amount |
170933.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
778 |
Number Of Beneficiaries Age 65 to 74 |
1860 |
Number Of Beneficiaries Age 75 to 84 |
1785 |
Number Of Beneficiaries Age Greater 84 |
893 |
Number Of Female Beneficiaries |
3141 |
Number Of Male Beneficiaries |
2175 |
Number Of Non Hispanic White Beneficiaries |
4324 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
764 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
4109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1207 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5667 |