National Provider Identifier [NPI]: |
1013931716 |
Last Name Of The Provider |
WU |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4101 JAMES CASEY BLVD |
Street Address 2 Of The Provider |
#100 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787451145 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
17517 |
Number Of Medicare Beneficiaries |
273 |
Total Submitted Charge Amount |
7065285 |
Total Medicare Allowed Amount |
1341766.07 |
Total Medicare Payment Amount |
1037326.5 |
Total Medicare Standardized Payment Amount |
1038733.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
11041 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
50055 |
Total Drug Medicare AllowedAmount |
5947.19 |
Total Drug Medicare PaymentAmount |
4660.86 |
Total Drug Medicare Standardized Payment Amount |
4660.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
6476 |
Number Of Medicare Beneficiaries With Medical Services |
273 |
Total Medical Submitted Charge Amount |
7015230 |
Total Medical Medicare Allowed Amount |
1335818.88 |
Total Medical Medicare Payment Amount |
1032665.64 |
Total Medical Medicare Standardized Payment Amount |
1034072.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
67 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5286 |