National Provider Identifier [NPI]: |
1831137124 |
Last Name Of The Provider |
MUSSELMAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8440 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752313833 |
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 |
68 |
Number Of Services |
7085 |
Number Of Medicare Beneficiaries |
2364 |
Total Submitted Charge Amount |
775263.45 |
Total Medicare Allowed Amount |
713071.33 |
Total Medicare Payment Amount |
529474.79 |
Total Medicare Standardized Payment Amount |
540171.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
678 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
35750.72 |
Total Drug Medicare AllowedAmount |
35446.2 |
Total Drug Medicare PaymentAmount |
27665.34 |
Total Drug Medicare Standardized Payment Amount |
27665.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6407 |
Number Of Medicare Beneficiaries With Medical Services |
2364 |
Total Medical Submitted Charge Amount |
739512.73 |
Total Medical Medicare Allowed Amount |
677625.13 |
Total Medical Medicare Payment Amount |
501809.45 |
Total Medical Medicare Standardized Payment Amount |
512506.28 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
778 |
Number Of Beneficiaries Age 75 to 84 |
831 |
Number Of Beneficiaries Age Greater 84 |
581 |
Number Of Female Beneficiaries |
1230 |
Number Of Male Beneficiaries |
1134 |
Number Of Non Hispanic White Beneficiaries |
2039 |
Number Of Black or African American Beneficiaries |
192 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.641 |