National Provider Identifier [NPI]: |
1184618597 |
Last Name Of The Provider |
AUGUST |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4532 N MESA ST |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799126102 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
4489 |
Number Of Medicare Beneficiaries |
1065 |
Total Submitted Charge Amount |
652504 |
Total Medicare Allowed Amount |
301194.7 |
Total Medicare Payment Amount |
221833.28 |
Total Medicare Standardized Payment Amount |
234835.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
5258 |
Total Drug Medicare AllowedAmount |
2000.61 |
Total Drug Medicare PaymentAmount |
1548.17 |
Total Drug Medicare Standardized Payment Amount |
1548.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4258 |
Number Of Medicare Beneficiaries With Medical Services |
1065 |
Total Medical Submitted Charge Amount |
647246 |
Total Medical Medicare Allowed Amount |
299194.09 |
Total Medical Medicare Payment Amount |
220285.11 |
Total Medical Medicare Standardized Payment Amount |
233287.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
501 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
449 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
394 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7663 |