National Provider Identifier [NPI]: |
1174504195 |
Last Name Of The Provider |
VARADY |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
G |
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 |
140 |
Number Of Services |
3585 |
Number Of Medicare Beneficiaries |
986 |
Total Submitted Charge Amount |
252693.05 |
Total Medicare Allowed Amount |
118909.32 |
Total Medicare Payment Amount |
89723.17 |
Total Medicare Standardized Payment Amount |
91250.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2275 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1785.95 |
Total Drug Medicare AllowedAmount |
1331.35 |
Total Drug Medicare PaymentAmount |
1026.63 |
Total Drug Medicare Standardized Payment Amount |
1026.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
1310 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
250907.1 |
Total Medical Medicare Allowed Amount |
117577.97 |
Total Medical Medicare Payment Amount |
88696.54 |
Total Medical Medicare Standardized Payment Amount |
90223.83 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
552 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
164 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
696 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
290 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1451 |