National Provider Identifier [NPI]: |
1386802395 |
Last Name Of The Provider |
ASCHENBECK |
First Name Of The Provider |
RANDAL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12554 RIATA VISTA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787276431 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
9260 |
Number Of Medicare Beneficiaries |
4319 |
Total Submitted Charge Amount |
864275.8 |
Total Medicare Allowed Amount |
314359.8 |
Total Medicare Payment Amount |
258125.87 |
Total Medicare Standardized Payment Amount |
262893.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2548 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
9627.8 |
Total Drug Medicare AllowedAmount |
1769.29 |
Total Drug Medicare PaymentAmount |
1351.71 |
Total Drug Medicare Standardized Payment Amount |
1351.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
6712 |
Number Of Medicare Beneficiaries With Medical Services |
4319 |
Total Medical Submitted Charge Amount |
854648 |
Total Medical Medicare Allowed Amount |
312590.51 |
Total Medical Medicare Payment Amount |
256774.16 |
Total Medical Medicare Standardized Payment Amount |
261542.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
628 |
Number Of Beneficiaries Age 65 to 74 |
2053 |
Number Of Beneficiaries Age 75 to 84 |
1153 |
Number Of Beneficiaries Age Greater 84 |
485 |
Number Of Female Beneficiaries |
3194 |
Number Of Male Beneficiaries |
1125 |
Number Of Non Hispanic White Beneficiaries |
3447 |
Number Of Black or African American Beneficiaries |
324 |
Number Of AsianPacific Islander Beneficiaries |
84 |
Number Of Hispanic Beneficiaries |
301 |
Number Of American Indian Alaska Native Beneficiaries |
121 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
3499 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
820 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4028 |