National Provider Identifier [NPI]: |
1811906803 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8210 WALNUT HILL LN |
Street Address 2 Of The Provider |
STE 130, LB 11 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314405 |
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 |
25 |
Number Of Services |
2167 |
Number Of Medicare Beneficiaries |
404 |
Total Submitted Charge Amount |
499875.25 |
Total Medicare Allowed Amount |
94862.67 |
Total Medicare Payment Amount |
72177.06 |
Total Medicare Standardized Payment Amount |
75952.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1128 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
14622 |
Total Drug Medicare AllowedAmount |
12726.1 |
Total Drug Medicare PaymentAmount |
9945.88 |
Total Drug Medicare Standardized Payment Amount |
9945.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1039 |
Number Of Medicare Beneficiaries With Medical Services |
404 |
Total Medical Submitted Charge Amount |
485253.25 |
Total Medical Medicare Allowed Amount |
82136.57 |
Total Medical Medicare Payment Amount |
62231.18 |
Total Medical Medicare Standardized Payment Amount |
66006.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
360 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9447 |