National Provider Identifier [NPI]: |
1528072154 |
Last Name Of The Provider |
HAUSMAN-COHEN |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11149 RESEARCH BLVD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787595279 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1757 |
Number Of Medicare Beneficiaries |
194 |
Total Submitted Charge Amount |
108073 |
Total Medicare Allowed Amount |
69190.78 |
Total Medicare Payment Amount |
49612.76 |
Total Medicare Standardized Payment Amount |
52726.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1151 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
39739 |
Total Drug Medicare AllowedAmount |
17405.17 |
Total Drug Medicare PaymentAmount |
13238.14 |
Total Drug Medicare Standardized Payment Amount |
13238.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
606 |
Number Of Medicare Beneficiaries With Medical Services |
194 |
Total Medical Submitted Charge Amount |
68334 |
Total Medical Medicare Allowed Amount |
51785.61 |
Total Medical Medicare Payment Amount |
36374.62 |
Total Medical Medicare Standardized Payment Amount |
39488.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
36 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
141 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
18 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6775 |