National Provider Identifier [NPI]: |
1720053085 |
Last Name Of The Provider |
CHANDLER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12221 MOPAC EXPRESSWAY NORTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787582483 |
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 |
57 |
Number Of Services |
3675 |
Number Of Medicare Beneficiaries |
1599 |
Total Submitted Charge Amount |
556026.19 |
Total Medicare Allowed Amount |
550308.46 |
Total Medicare Payment Amount |
390378.06 |
Total Medicare Standardized Payment Amount |
396064.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
86540.39 |
Total Drug Medicare AllowedAmount |
86526.94 |
Total Drug Medicare PaymentAmount |
67616.27 |
Total Drug Medicare Standardized Payment Amount |
67616.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3511 |
Number Of Medicare Beneficiaries With Medical Services |
1599 |
Total Medical Submitted Charge Amount |
469485.8 |
Total Medical Medicare Allowed Amount |
463781.52 |
Total Medical Medicare Payment Amount |
322761.79 |
Total Medical Medicare Standardized Payment Amount |
328448.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
723 |
Number Of Beneficiaries Age 75 to 84 |
508 |
Number Of Beneficiaries Age Greater 84 |
215 |
Number Of Female Beneficiaries |
901 |
Number Of Male Beneficiaries |
698 |
Number Of Non Hispanic White Beneficiaries |
1221 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
83 |
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2244 |