National Provider Identifier [NPI]: |
1528065943 |
Last Name Of The Provider |
SHULMAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
999 E BASSE RD |
Street Address 2 Of The Provider |
STE 127 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782091802 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4657 |
Number Of Medicare Beneficiaries |
1745 |
Total Submitted Charge Amount |
1122269 |
Total Medicare Allowed Amount |
472516 |
Total Medicare Payment Amount |
327996.09 |
Total Medicare Standardized Payment Amount |
352978.68 |
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 |
33 |
Number Of Medical Services |
4657 |
Number Of Medicare Beneficiaries With Medical Services |
1745 |
Total Medical Submitted Charge Amount |
1122269 |
Total Medical Medicare Allowed Amount |
472516 |
Total Medical Medicare Payment Amount |
327996.09 |
Total Medical Medicare Standardized Payment Amount |
352978.68 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
643 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
1054 |
Number Of Male Beneficiaries |
691 |
Number Of Non Hispanic White Beneficiaries |
1535 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9948 |