National Provider Identifier [NPI]: |
1750336533 |
Last Name Of The Provider |
TAWA |
First Name Of The Provider |
CYRIL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21216 NORTHWEST FREEWAY |
Street Address 2 Of The Provider |
SUITE 420 |
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 |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6565 |
Number Of Medicare Beneficiaries |
1333 |
Total Submitted Charge Amount |
1397035 |
Total Medicare Allowed Amount |
645336.84 |
Total Medicare Payment Amount |
480990.71 |
Total Medicare Standardized Payment Amount |
483585.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
672 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
100030 |
Total Drug Medicare AllowedAmount |
35146.33 |
Total Drug Medicare PaymentAmount |
27298.94 |
Total Drug Medicare Standardized Payment Amount |
27298.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
5893 |
Number Of Medicare Beneficiaries With Medical Services |
1333 |
Total Medical Submitted Charge Amount |
1297005 |
Total Medical Medicare Allowed Amount |
610190.51 |
Total Medical Medicare Payment Amount |
453691.77 |
Total Medical Medicare Standardized Payment Amount |
456286.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
623 |
Number Of Beneficiaries Age 75 to 84 |
444 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
638 |
Number Of Non Hispanic White Beneficiaries |
1116 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4716 |