National Provider Identifier [NPI]: |
1790730752 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1008 PALUXY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANBURY |
Zip Code Of The Provider |
760482397 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
3866 |
Number Of Medicare Beneficiaries |
1217 |
Total Submitted Charge Amount |
477794.24 |
Total Medicare Allowed Amount |
196767.4 |
Total Medicare Payment Amount |
138810.61 |
Total Medicare Standardized Payment Amount |
147311.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
299 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
598 |
Total Drug Medicare AllowedAmount |
533.53 |
Total Drug Medicare PaymentAmount |
389.66 |
Total Drug Medicare Standardized Payment Amount |
389.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
1217 |
Total Medical Submitted Charge Amount |
477196.24 |
Total Medical Medicare Allowed Amount |
196233.87 |
Total Medical Medicare Payment Amount |
138420.95 |
Total Medical Medicare Standardized Payment Amount |
146922.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
408 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
518 |
Number Of Non Hispanic White Beneficiaries |
1174 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3204 |