National Provider Identifier [NPI]: |
1629235064 |
Last Name Of The Provider |
MORALES |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21214 NORTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
774293373 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
219 |
Number Of Services |
3939 |
Number Of Medicare Beneficiaries |
2346 |
Total Submitted Charge Amount |
779436.15 |
Total Medicare Allowed Amount |
158049.99 |
Total Medicare Payment Amount |
117971.23 |
Total Medicare Standardized Payment Amount |
119109.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
219 |
Number Of Medical Services |
3939 |
Number Of Medicare Beneficiaries With Medical Services |
2346 |
Total Medical Submitted Charge Amount |
779436.15 |
Total Medical Medicare Allowed Amount |
158049.99 |
Total Medical Medicare Payment Amount |
117971.23 |
Total Medical Medicare Standardized Payment Amount |
119109.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
463 |
Number Of Beneficiaries Age 65 to 74 |
848 |
Number Of Beneficiaries Age 75 to 84 |
654 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
1344 |
Number Of Male Beneficiaries |
1002 |
Number Of Non Hispanic White Beneficiaries |
1327 |
Number Of Black or African American Beneficiaries |
540 |
Number Of AsianPacific Islander Beneficiaries |
101 |
Number Of Hispanic Beneficiaries |
346 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1586 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
760 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3736 |