National Provider Identifier [NPI]: |
1639407083 |
Last Name Of The Provider |
GALFIONE |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1925 ADDISON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770301310 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
200 |
Number Of Services |
4485 |
Number Of Medicare Beneficiaries |
3056 |
Total Submitted Charge Amount |
1074558 |
Total Medicare Allowed Amount |
181269.72 |
Total Medicare Payment Amount |
139799.31 |
Total Medicare Standardized Payment Amount |
140707.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
4485 |
Number Of Medicare Beneficiaries With Medical Services |
3056 |
Total Medical Submitted Charge Amount |
1074558 |
Total Medical Medicare Allowed Amount |
181269.72 |
Total Medical Medicare Payment Amount |
139799.31 |
Total Medical Medicare Standardized Payment Amount |
140707.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
573 |
Number Of Beneficiaries Age 65 to 74 |
1040 |
Number Of Beneficiaries Age 75 to 84 |
908 |
Number Of Beneficiaries Age Greater 84 |
535 |
Number Of Female Beneficiaries |
1686 |
Number Of Male Beneficiaries |
1370 |
Number Of Non Hispanic White Beneficiaries |
1925 |
Number Of Black or African American Beneficiaries |
652 |
Number Of AsianPacific Islander Beneficiaries |
129 |
Number Of Hispanic Beneficiaries |
314 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2374 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
682 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.828 |