National Provider Identifier [NPI]: |
1619976180 |
Last Name Of The Provider |
APPEL |
First Name Of The Provider |
NOAH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
815 PENNSYLVANIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761042224 |
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 |
213 |
Number Of Services |
2110 |
Number Of Medicare Beneficiaries |
1074 |
Total Submitted Charge Amount |
642901 |
Total Medicare Allowed Amount |
117930.95 |
Total Medicare Payment Amount |
89997.84 |
Total Medicare Standardized Payment Amount |
90549.14 |
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 |
213 |
Number Of Medical Services |
2110 |
Number Of Medicare Beneficiaries With Medical Services |
1074 |
Total Medical Submitted Charge Amount |
642901 |
Total Medical Medicare Allowed Amount |
117930.95 |
Total Medical Medicare Payment Amount |
89997.84 |
Total Medical Medicare Standardized Payment Amount |
90549.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
622 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
874 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0184 |