National Provider Identifier [NPI]: |
1942232004 |
Last Name Of The Provider |
RASMUSSEN |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1920 E GRIFFIN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSION |
Zip Code Of The Provider |
785723106 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1796 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
95568.39 |
Total Medicare Allowed Amount |
57737.15 |
Total Medicare Payment Amount |
38048.81 |
Total Medicare Standardized Payment Amount |
47483.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1379 |
Total Drug Medicare AllowedAmount |
1044.53 |
Total Drug Medicare PaymentAmount |
1002.75 |
Total Drug Medicare Standardized Payment Amount |
1002.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1744 |
Number Of Medicare Beneficiaries With Medical Services |
501 |
Total Medical Submitted Charge Amount |
94189.39 |
Total Medical Medicare Allowed Amount |
56692.62 |
Total Medical Medicare Payment Amount |
37046.06 |
Total Medical Medicare Standardized Payment Amount |
46481.15 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
215 |
Number Of Non Hispanic White Beneficiaries |
446 |
Number Of Black or African American Beneficiaries |
|
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 |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0485 |