National Provider Identifier [NPI]: |
1477501724 |
Last Name Of The Provider |
WEINGARDEN |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
399 W CAMPBELL RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
RICHARDSON |
Zip Code Of The Provider |
750803595 |
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 |
43 |
Number Of Services |
5724 |
Number Of Medicare Beneficiaries |
881 |
Total Submitted Charge Amount |
1326669.9 |
Total Medicare Allowed Amount |
565684.69 |
Total Medicare Payment Amount |
423838.75 |
Total Medicare Standardized Payment Amount |
422716.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
695 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
87075 |
Total Drug Medicare AllowedAmount |
36558.66 |
Total Drug Medicare PaymentAmount |
28274.47 |
Total Drug Medicare Standardized Payment Amount |
28274.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5029 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
1239594.9 |
Total Medical Medicare Allowed Amount |
529126.03 |
Total Medical Medicare Payment Amount |
395564.28 |
Total Medical Medicare Standardized Payment Amount |
394442.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
817 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2905 |