National Provider Identifier [NPI]: |
1235196148 |
Last Name Of The Provider |
COLEMAN |
First Name Of The Provider |
TROY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 W FRANK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUFKIN |
Zip Code Of The Provider |
759043357 |
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 |
226 |
Number Of Services |
9722 |
Number Of Medicare Beneficiaries |
4412 |
Total Submitted Charge Amount |
1270733 |
Total Medicare Allowed Amount |
299740.99 |
Total Medicare Payment Amount |
235515.5 |
Total Medicare Standardized Payment Amount |
246125.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
9722 |
Number Of Medicare Beneficiaries With Medical Services |
4412 |
Total Medical Submitted Charge Amount |
1270733 |
Total Medical Medicare Allowed Amount |
299740.99 |
Total Medical Medicare Payment Amount |
235515.5 |
Total Medical Medicare Standardized Payment Amount |
246125.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
851 |
Number Of Beneficiaries Age 65 to 74 |
1619 |
Number Of Beneficiaries Age 75 to 84 |
1273 |
Number Of Beneficiaries Age Greater 84 |
669 |
Number Of Female Beneficiaries |
2728 |
Number Of Male Beneficiaries |
1684 |
Number Of Non Hispanic White Beneficiaries |
3664 |
Number Of Black or African American Beneficiaries |
554 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
3113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1299 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6225 |