National Provider Identifier [NPI]: |
1295700300 |
Last Name Of The Provider |
BISHOP |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2006 FALL CREEK HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANBURY |
Zip Code Of The Provider |
760497913 |
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 |
77 |
Number Of Services |
10817 |
Number Of Medicare Beneficiaries |
751 |
Total Submitted Charge Amount |
629884.83 |
Total Medicare Allowed Amount |
347287.6 |
Total Medicare Payment Amount |
257178 |
Total Medicare Standardized Payment Amount |
271746.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
4901 |
Number Of Medicare Beneficiaries With Drug Services |
415 |
Total Drug Submitted ChargeAmount |
40281.83 |
Total Drug Medicare AllowedAmount |
10097.71 |
Total Drug Medicare PaymentAmount |
8507.47 |
Total Drug Medicare Standardized Payment Amount |
8507.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5916 |
Number Of Medicare Beneficiaries With Medical Services |
751 |
Total Medical Submitted Charge Amount |
589603 |
Total Medical Medicare Allowed Amount |
337189.89 |
Total Medical Medicare Payment Amount |
248670.53 |
Total Medical Medicare Standardized Payment Amount |
263239.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
726 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0122 |