National Provider Identifier [NPI]: |
1932380136 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
ROSS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 E BEAUREGARD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANGELO |
Zip Code Of The Provider |
769035919 |
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 |
241 |
Number Of Services |
11538 |
Number Of Medicare Beneficiaries |
4217 |
Total Submitted Charge Amount |
348654.3 |
Total Medicare Allowed Amount |
262014.32 |
Total Medicare Payment Amount |
200981.8 |
Total Medicare Standardized Payment Amount |
214747.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3803 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
648.84 |
Total Drug Medicare AllowedAmount |
646.58 |
Total Drug Medicare PaymentAmount |
506.98 |
Total Drug Medicare Standardized Payment Amount |
506.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
240 |
Number Of Medical Services |
7735 |
Number Of Medicare Beneficiaries With Medical Services |
4217 |
Total Medical Submitted Charge Amount |
348005.46 |
Total Medical Medicare Allowed Amount |
261367.74 |
Total Medical Medicare Payment Amount |
200474.82 |
Total Medical Medicare Standardized Payment Amount |
214241 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
704 |
Number Of Beneficiaries Age 65 to 74 |
1677 |
Number Of Beneficiaries Age 75 to 84 |
1244 |
Number Of Beneficiaries Age Greater 84 |
592 |
Number Of Female Beneficiaries |
2572 |
Number Of Male Beneficiaries |
1645 |
Number Of Non Hispanic White Beneficiaries |
3143 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
918 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
3166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1051 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4176 |