National Provider Identifier [NPI]: |
1871502641 |
Last Name Of The Provider |
POHL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 W 38TH ST STE C1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787051126 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
9095 |
Number Of Medicare Beneficiaries |
794 |
Total Submitted Charge Amount |
836952 |
Total Medicare Allowed Amount |
593793.06 |
Total Medicare Payment Amount |
449696.75 |
Total Medicare Standardized Payment Amount |
454833.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
1625 |
Total Drug Medicare AllowedAmount |
3.38 |
Total Drug Medicare PaymentAmount |
2.7 |
Total Drug Medicare Standardized Payment Amount |
2.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
9030 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
835327 |
Total Medical Medicare Allowed Amount |
593789.68 |
Total Medical Medicare Payment Amount |
449694.05 |
Total Medical Medicare Standardized Payment Amount |
454831.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
633 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
58 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9274 |