National Provider Identifier [NPI]: |
1447450796 |
Last Name Of The Provider |
MARKS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3345 BEE CAVES RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
WEST LAKE HILLS |
Zip Code Of The Provider |
787466772 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
1373 |
Number Of Medicare Beneficiaries |
145 |
Total Submitted Charge Amount |
490360.93 |
Total Medicare Allowed Amount |
88277.84 |
Total Medicare Payment Amount |
67261.75 |
Total Medicare Standardized Payment Amount |
65387.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
430 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
4405 |
Total Drug Medicare AllowedAmount |
2263.99 |
Total Drug Medicare PaymentAmount |
1774.95 |
Total Drug Medicare Standardized Payment Amount |
1774.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
943 |
Number Of Medicare Beneficiaries With Medical Services |
145 |
Total Medical Submitted Charge Amount |
485955.93 |
Total Medical Medicare Allowed Amount |
86013.85 |
Total Medical Medicare Payment Amount |
65486.8 |
Total Medical Medicare Standardized Payment Amount |
63612.42 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
45 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
110 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3551 |