National Provider Identifier [NPI]: |
1962405027 |
Last Name Of The Provider |
HSU |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3121 S MARYLAND PKWY |
Street Address 2 Of The Provider |
STE 512 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891092310 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5904 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
864516.84 |
Total Medicare Allowed Amount |
547669.41 |
Total Medicare Payment Amount |
391764.07 |
Total Medicare Standardized Payment Amount |
392074.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
777 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
34058.64 |
Total Drug Medicare AllowedAmount |
30262.31 |
Total Drug Medicare PaymentAmount |
23214.23 |
Total Drug Medicare Standardized Payment Amount |
23214.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5127 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
830458.2 |
Total Medical Medicare Allowed Amount |
517407.1 |
Total Medical Medicare Payment Amount |
368549.84 |
Total Medical Medicare Standardized Payment Amount |
368860.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
439 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
495 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
251 |
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
753 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3496 |