National Provider Identifier [NPI]: |
1659397669 |
Last Name Of The Provider |
FRANKLIN |
First Name Of The Provider |
ODUS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
723 HILL COUNTRY DR |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
KERRVILLE |
Zip Code Of The Provider |
780285904 |
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 |
85 |
Number Of Services |
4197 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
275270.19 |
Total Medicare Allowed Amount |
243734.11 |
Total Medicare Payment Amount |
163274.55 |
Total Medicare Standardized Payment Amount |
176208.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1396 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
1786.38 |
Total Drug Medicare AllowedAmount |
952.46 |
Total Drug Medicare PaymentAmount |
724.41 |
Total Drug Medicare Standardized Payment Amount |
724.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2801 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
273483.81 |
Total Medical Medicare Allowed Amount |
242781.65 |
Total Medical Medicare Payment Amount |
162550.14 |
Total Medical Medicare Standardized Payment Amount |
175484.4 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8878 |