National Provider Identifier [NPI]: |
1467451146 |
Last Name Of The Provider |
FLEISCHMANN |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8144 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314388 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
18983 |
Number Of Medicare Beneficiaries |
201 |
Total Submitted Charge Amount |
311180.73 |
Total Medicare Allowed Amount |
204523.11 |
Total Medicare Payment Amount |
160600.45 |
Total Medicare Standardized Payment Amount |
160858.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
13432 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
146777.52 |
Total Drug Medicare AllowedAmount |
93913.23 |
Total Drug Medicare PaymentAmount |
74062.18 |
Total Drug Medicare Standardized Payment Amount |
74062.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5551 |
Number Of Medicare Beneficiaries With Medical Services |
201 |
Total Medical Submitted Charge Amount |
164403.21 |
Total Medical Medicare Allowed Amount |
110609.88 |
Total Medical Medicare Payment Amount |
86538.27 |
Total Medical Medicare Standardized Payment Amount |
86796.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
139 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
172 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0334 |