National Provider Identifier [NPI]: |
1114927779 |
Last Name Of The Provider |
ISAACS |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
909 9TH AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761043903 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
29246 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
1790607 |
Total Medicare Allowed Amount |
1094803.5 |
Total Medicare Payment Amount |
849939.97 |
Total Medicare Standardized Payment Amount |
857551.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
16787 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
1257834 |
Total Drug Medicare AllowedAmount |
838936.36 |
Total Drug Medicare PaymentAmount |
651361.61 |
Total Drug Medicare Standardized Payment Amount |
651361.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
12459 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
532773 |
Total Medical Medicare Allowed Amount |
255867.14 |
Total Medical Medicare Payment Amount |
198578.36 |
Total Medical Medicare Standardized Payment Amount |
206190.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
315 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1261 |