National Provider Identifier [NPI]: |
1174694160 |
Last Name Of The Provider |
FROST |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7322 SOUTHWEST FWY |
Street Address 2 Of The Provider |
STE. 160 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770742010 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2300 |
Number Of Medicare Beneficiaries |
264 |
Total Submitted Charge Amount |
249842.5 |
Total Medicare Allowed Amount |
216328.99 |
Total Medicare Payment Amount |
158017.88 |
Total Medicare Standardized Payment Amount |
156881.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
2367.9 |
Total Drug Medicare AllowedAmount |
2157.86 |
Total Drug Medicare PaymentAmount |
2105.08 |
Total Drug Medicare Standardized Payment Amount |
2105.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2204 |
Number Of Medicare Beneficiaries With Medical Services |
264 |
Total Medical Submitted Charge Amount |
247474.6 |
Total Medical Medicare Allowed Amount |
214171.13 |
Total Medical Medicare Payment Amount |
155912.8 |
Total Medical Medicare Standardized Payment Amount |
154776.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
35 |
Number Of Black or African American Beneficiaries |
184 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
91 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3392 |