National Provider Identifier [NPI]: |
1598750788 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5002 COWHORN CREEK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEXARKANA |
Zip Code Of The Provider |
755039766 |
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 |
112 |
Number Of Services |
6581 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
752462.46 |
Total Medicare Allowed Amount |
293708.75 |
Total Medicare Payment Amount |
220429.16 |
Total Medicare Standardized Payment Amount |
230680.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3932 |
Number Of Medicare Beneficiaries With Drug Services |
290 |
Total Drug Submitted ChargeAmount |
54222.27 |
Total Drug Medicare AllowedAmount |
30655.13 |
Total Drug Medicare PaymentAmount |
23524.47 |
Total Drug Medicare Standardized Payment Amount |
23524.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2649 |
Number Of Medicare Beneficiaries With Medical Services |
693 |
Total Medical Submitted Charge Amount |
698240.19 |
Total Medical Medicare Allowed Amount |
263053.62 |
Total Medical Medicare Payment Amount |
196904.69 |
Total Medical Medicare Standardized Payment Amount |
207156.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
611 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2037 |