National Provider Identifier [NPI]: |
1073560744 |
Last Name Of The Provider |
HOLMES |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9150 HUEBNER RD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782401558 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5602 |
Number Of Medicare Beneficiaries |
636 |
Total Submitted Charge Amount |
1001003 |
Total Medicare Allowed Amount |
302870.62 |
Total Medicare Payment Amount |
222274.25 |
Total Medicare Standardized Payment Amount |
239054.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2509 |
Number Of Medicare Beneficiaries With Drug Services |
463 |
Total Drug Submitted ChargeAmount |
42611 |
Total Drug Medicare AllowedAmount |
7514.58 |
Total Drug Medicare PaymentAmount |
5635.61 |
Total Drug Medicare Standardized Payment Amount |
5635.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3093 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
958392 |
Total Medical Medicare Allowed Amount |
295356.04 |
Total Medical Medicare Payment Amount |
216638.64 |
Total Medical Medicare Standardized Payment Amount |
233418.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
141 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
610 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8692 |