National Provider Identifier [NPI]: |
1104037878 |
Last Name Of The Provider |
PULLEY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2512 SUNBURST LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEARLAND |
Zip Code Of The Provider |
775842993 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
13852 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
1631391.64 |
Total Medicare Allowed Amount |
652535.76 |
Total Medicare Payment Amount |
507290.58 |
Total Medicare Standardized Payment Amount |
494263.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
1518 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
53495.4 |
Total Drug Medicare AllowedAmount |
12904.26 |
Total Drug Medicare PaymentAmount |
9947.22 |
Total Drug Medicare Standardized Payment Amount |
9947.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
12334 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
1577896.24 |
Total Medical Medicare Allowed Amount |
639631.5 |
Total Medical Medicare Payment Amount |
497343.36 |
Total Medical Medicare Standardized Payment Amount |
484315.95 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
473 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3813 |