National Provider Identifier [NPI]: |
1619911880 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 W BEN WHITE |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787047087 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
8811 |
Number Of Medicare Beneficiaries |
661 |
Total Submitted Charge Amount |
2403562 |
Total Medicare Allowed Amount |
665267.44 |
Total Medicare Payment Amount |
513320.04 |
Total Medicare Standardized Payment Amount |
519749.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6678 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
17286 |
Total Drug Medicare AllowedAmount |
6237.59 |
Total Drug Medicare PaymentAmount |
4788.03 |
Total Drug Medicare Standardized Payment Amount |
4788.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2133 |
Number Of Medicare Beneficiaries With Medical Services |
661 |
Total Medical Submitted Charge Amount |
2386276 |
Total Medical Medicare Allowed Amount |
659029.85 |
Total Medical Medicare Payment Amount |
508532.01 |
Total Medical Medicare Standardized Payment Amount |
514960.98 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
295 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
211 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
5.4305 |