National Provider Identifier [NPI]: |
1699703066 |
Last Name Of The Provider |
WORRICH |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
423 TREELINE PARK STE 325 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782092060 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
23527 |
Number Of Medicare Beneficiaries |
474 |
Total Submitted Charge Amount |
2076502 |
Total Medicare Allowed Amount |
460943.11 |
Total Medicare Payment Amount |
358477.3 |
Total Medicare Standardized Payment Amount |
345039.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
17643 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
254472 |
Total Drug Medicare AllowedAmount |
97255.8 |
Total Drug Medicare PaymentAmount |
74565.67 |
Total Drug Medicare Standardized Payment Amount |
74565.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5884 |
Number Of Medicare Beneficiaries With Medical Services |
474 |
Total Medical Submitted Charge Amount |
1822030 |
Total Medical Medicare Allowed Amount |
363687.31 |
Total Medical Medicare Payment Amount |
283911.63 |
Total Medical Medicare Standardized Payment Amount |
270473.46 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
292 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4636 |