National Provider Identifier [NPI]: |
1538164181 |
Last Name Of The Provider |
SILVERSTEIN |
First Name Of The Provider |
ALANNA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 W ARAPAHO RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
RICHARDSON |
Zip Code Of The Provider |
750804049 |
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 |
36 |
Number Of Services |
2394 |
Number Of Medicare Beneficiaries |
466 |
Total Submitted Charge Amount |
285518.81 |
Total Medicare Allowed Amount |
158374.59 |
Total Medicare Payment Amount |
109621.74 |
Total Medicare Standardized Payment Amount |
109239.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
153 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
6625 |
Total Drug Medicare AllowedAmount |
5471.84 |
Total Drug Medicare PaymentAmount |
5357.59 |
Total Drug Medicare Standardized Payment Amount |
5357.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2241 |
Number Of Medicare Beneficiaries With Medical Services |
466 |
Total Medical Submitted Charge Amount |
278893.81 |
Total Medical Medicare Allowed Amount |
152902.75 |
Total Medical Medicare Payment Amount |
104264.15 |
Total Medical Medicare Standardized Payment Amount |
103882.2 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
88 |
Number Of Non Hispanic White Beneficiaries |
423 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1079 |