National Provider Identifier [NPI]: |
1659313559 |
Last Name Of The Provider |
RICHARDS |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 E HOUSTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TYLER |
Zip Code Of The Provider |
757028369 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
187566 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
9488179 |
Total Medicare Allowed Amount |
2559997.77 |
Total Medicare Payment Amount |
2007445.48 |
Total Medicare Standardized Payment Amount |
2030010.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
170556 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
7085879 |
Total Drug Medicare AllowedAmount |
1931896.62 |
Total Drug Medicare PaymentAmount |
1507434.87 |
Total Drug Medicare Standardized Payment Amount |
1507434.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
17010 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
2402300 |
Total Medical Medicare Allowed Amount |
628101.15 |
Total Medical Medicare Payment Amount |
500010.61 |
Total Medical Medicare Standardized Payment Amount |
522575.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
227 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
64 |
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 |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6842 |