National Provider Identifier [NPI]: |
1811959083 |
Last Name Of The Provider |
RUST |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2722 OSLER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRYAN |
Zip Code Of The Provider |
778022517 |
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 |
163 |
Number Of Services |
5977 |
Number Of Medicare Beneficiaries |
3417 |
Total Submitted Charge Amount |
616444 |
Total Medicare Allowed Amount |
127644.38 |
Total Medicare Payment Amount |
95306.19 |
Total Medicare Standardized Payment Amount |
100697.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
895 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
895 |
Total Drug Medicare AllowedAmount |
156.12 |
Total Drug Medicare PaymentAmount |
122.46 |
Total Drug Medicare Standardized Payment Amount |
122.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
5082 |
Number Of Medicare Beneficiaries With Medical Services |
3417 |
Total Medical Submitted Charge Amount |
615549 |
Total Medical Medicare Allowed Amount |
127488.26 |
Total Medical Medicare Payment Amount |
95183.73 |
Total Medical Medicare Standardized Payment Amount |
100575.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
583 |
Number Of Beneficiaries Age 65 to 74 |
1205 |
Number Of Beneficiaries Age 75 to 84 |
1022 |
Number Of Beneficiaries Age Greater 84 |
607 |
Number Of Female Beneficiaries |
2020 |
Number Of Male Beneficiaries |
1397 |
Number Of Non Hispanic White Beneficiaries |
2591 |
Number Of Black or African American Beneficiaries |
554 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
234 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
925 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6604 |