National Provider Identifier [NPI]: |
1285635813 |
Last Name Of The Provider |
SANDER |
First Name Of The Provider |
HANS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11410 JOLLYVILLE RD |
Street Address 2 Of The Provider |
SUITE 2101 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787594097 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4493 |
Number Of Medicare Beneficiaries |
548 |
Total Submitted Charge Amount |
636265 |
Total Medicare Allowed Amount |
290249.82 |
Total Medicare Payment Amount |
213908.85 |
Total Medicare Standardized Payment Amount |
210011.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2844 |
Total Drug Medicare AllowedAmount |
1579.41 |
Total Drug Medicare PaymentAmount |
1232.57 |
Total Drug Medicare Standardized Payment Amount |
1232.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4428 |
Number Of Medicare Beneficiaries With Medical Services |
548 |
Total Medical Submitted Charge Amount |
633421 |
Total Medical Medicare Allowed Amount |
288670.41 |
Total Medical Medicare Payment Amount |
212676.28 |
Total Medical Medicare Standardized Payment Amount |
208778.58 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
528 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.982 |