National Provider Identifier [NPI]: |
1689617383 |
Last Name Of The Provider |
CIPLEU |
First Name Of The Provider |
CRISTIAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 NORTH IH 35 |
Street Address 2 Of The Provider |
STE 635 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787051804 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
11805 |
Number Of Medicare Beneficiaries |
754 |
Total Submitted Charge Amount |
3025294.14 |
Total Medicare Allowed Amount |
843954.67 |
Total Medicare Payment Amount |
643146.33 |
Total Medicare Standardized Payment Amount |
660491.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8569 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
36673 |
Total Drug Medicare AllowedAmount |
14826.96 |
Total Drug Medicare PaymentAmount |
10690.37 |
Total Drug Medicare Standardized Payment Amount |
10690.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3236 |
Number Of Medicare Beneficiaries With Medical Services |
754 |
Total Medical Submitted Charge Amount |
2988621.14 |
Total Medical Medicare Allowed Amount |
829127.71 |
Total Medical Medicare Payment Amount |
632455.96 |
Total Medical Medicare Standardized Payment Amount |
649800.75 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
337 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
181 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
229 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
5.4957 |