National Provider Identifier [NPI]: |
1104818053 |
Last Name Of The Provider |
BIXLER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 W R D MIZE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLUE SPRINGS |
Zip Code Of The Provider |
640142518 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
741 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
536103 |
Total Medicare Allowed Amount |
107586.47 |
Total Medicare Payment Amount |
81207.96 |
Total Medicare Standardized Payment Amount |
82754.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
741 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
536103 |
Total Medical Medicare Allowed Amount |
107586.47 |
Total Medical Medicare Payment Amount |
81207.96 |
Total Medical Medicare Standardized Payment Amount |
82754.2 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
261 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
407 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2193 |