National Provider Identifier [NPI]: |
1891922472 |
Last Name Of The Provider |
HINTON |
First Name Of The Provider |
STEPHEN |
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 |
2858 N BELT LINE RD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUNNYVALE |
Zip Code Of The Provider |
751829382 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3213 |
Number Of Medicare Beneficiaries |
1151 |
Total Submitted Charge Amount |
1216725 |
Total Medicare Allowed Amount |
458400.51 |
Total Medicare Payment Amount |
330844.95 |
Total Medicare Standardized Payment Amount |
334551.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
14245 |
Total Drug Medicare AllowedAmount |
5085.19 |
Total Drug Medicare PaymentAmount |
3808.05 |
Total Drug Medicare Standardized Payment Amount |
3808.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3136 |
Number Of Medicare Beneficiaries With Medical Services |
1151 |
Total Medical Submitted Charge Amount |
1202480 |
Total Medical Medicare Allowed Amount |
453315.32 |
Total Medical Medicare Payment Amount |
327036.9 |
Total Medical Medicare Standardized Payment Amount |
330743.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
531 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
739 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
134 |
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 |
929 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3295 |