National Provider Identifier [NPI]: |
1902846819 |
Last Name Of The Provider |
ROBERTS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 N MACARTHUR BLVD |
Street Address 2 Of The Provider |
SUITE 255 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750612256 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
7908 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
1867484.28 |
Total Medicare Allowed Amount |
637216.05 |
Total Medicare Payment Amount |
484462.43 |
Total Medicare Standardized Payment Amount |
479688.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3724 |
Number Of Medicare Beneficiaries With Drug Services |
314 |
Total Drug Submitted ChargeAmount |
295296.68 |
Total Drug Medicare AllowedAmount |
106635.69 |
Total Drug Medicare PaymentAmount |
81561.1 |
Total Drug Medicare Standardized Payment Amount |
81561.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
4184 |
Number Of Medicare Beneficiaries With Medical Services |
513 |
Total Medical Submitted Charge Amount |
1572187.6 |
Total Medical Medicare Allowed Amount |
530580.36 |
Total Medical Medicare Payment Amount |
402901.33 |
Total Medical Medicare Standardized Payment Amount |
398127.3 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3812 |