National Provider Identifier [NPI]: |
1962592071 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D., J.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2559 WESTERN TRAILS BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787451565 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4817 |
Number Of Medicare Beneficiaries |
1325 |
Total Submitted Charge Amount |
791600.28 |
Total Medicare Allowed Amount |
343674.32 |
Total Medicare Payment Amount |
253344.46 |
Total Medicare Standardized Payment Amount |
264433.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
20057.78 |
Total Drug Medicare AllowedAmount |
18335.28 |
Total Drug Medicare PaymentAmount |
14097.59 |
Total Drug Medicare Standardized Payment Amount |
14097.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4471 |
Number Of Medicare Beneficiaries With Medical Services |
1325 |
Total Medical Submitted Charge Amount |
771542.5 |
Total Medical Medicare Allowed Amount |
325339.04 |
Total Medical Medicare Payment Amount |
239246.87 |
Total Medical Medicare Standardized Payment Amount |
250335.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
604 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
670 |
Number Of Male Beneficiaries |
655 |
Number Of Non Hispanic White Beneficiaries |
1054 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
160 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.278 |