National Provider Identifier [NPI]: |
1588676613 |
Last Name Of The Provider |
MADELEY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3434 SWISS AVE |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752046251 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
14532 |
Number Of Medicare Beneficiaries |
1176 |
Total Submitted Charge Amount |
1042452.33 |
Total Medicare Allowed Amount |
439343.38 |
Total Medicare Payment Amount |
360305.94 |
Total Medicare Standardized Payment Amount |
361693.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2840 |
Number Of Medicare Beneficiaries With Drug Services |
284 |
Total Drug Submitted ChargeAmount |
94328 |
Total Drug Medicare AllowedAmount |
25866.86 |
Total Drug Medicare PaymentAmount |
21042.09 |
Total Drug Medicare Standardized Payment Amount |
21042.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
11692 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
948124.33 |
Total Medical Medicare Allowed Amount |
413476.52 |
Total Medical Medicare Payment Amount |
339263.85 |
Total Medical Medicare Standardized Payment Amount |
340650.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
423 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
525 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1212 |