National Provider Identifier [NPI]: |
1538126719 |
Last Name Of The Provider |
BIGHAM |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
221 W COLORADO BLVD |
Street Address 2 Of The Provider |
SUITE 640 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752082363 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2540 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
179252.58 |
Total Medicare Allowed Amount |
165574.24 |
Total Medicare Payment Amount |
124850.9 |
Total Medicare Standardized Payment Amount |
125432.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
2463.5 |
Total Drug Medicare AllowedAmount |
2143.54 |
Total Drug Medicare PaymentAmount |
2100.31 |
Total Drug Medicare Standardized Payment Amount |
2100.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2425 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
176789.08 |
Total Medical Medicare Allowed Amount |
163430.7 |
Total Medical Medicare Payment Amount |
122750.59 |
Total Medical Medicare Standardized Payment Amount |
123332.03 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.0259 |