National Provider Identifier [NPI]: |
1346244225 |
Last Name Of The Provider |
CAROTHERS |
First Name Of The Provider |
CURTIS |
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 |
9812 SLIDE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794245781 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
4019 |
Number Of Medicare Beneficiaries |
1222 |
Total Submitted Charge Amount |
711002.09 |
Total Medicare Allowed Amount |
238324.26 |
Total Medicare Payment Amount |
177235.95 |
Total Medicare Standardized Payment Amount |
185420.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
9900 |
Total Drug Medicare AllowedAmount |
3453.81 |
Total Drug Medicare PaymentAmount |
2707.74 |
Total Drug Medicare Standardized Payment Amount |
2707.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
3949 |
Number Of Medicare Beneficiaries With Medical Services |
1222 |
Total Medical Submitted Charge Amount |
701102.09 |
Total Medical Medicare Allowed Amount |
234870.45 |
Total Medical Medicare Payment Amount |
174528.21 |
Total Medical Medicare Standardized Payment Amount |
182712.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
411 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
665 |
Number Of Male Beneficiaries |
557 |
Number Of Non Hispanic White Beneficiaries |
848 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
296 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9706 |