National Provider Identifier [NPI]: |
1205036316 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5201 HARRY HINES BLVD |
Street Address 2 Of The Provider |
HOUSE STAFF & GME |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752357708 |
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 |
218 |
Number Of Services |
6034 |
Number Of Medicare Beneficiaries |
3233 |
Total Submitted Charge Amount |
795623 |
Total Medicare Allowed Amount |
200863.63 |
Total Medicare Payment Amount |
147954.96 |
Total Medicare Standardized Payment Amount |
155934.46 |
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 |
218 |
Number Of Medical Services |
6034 |
Number Of Medicare Beneficiaries With Medical Services |
3233 |
Total Medical Submitted Charge Amount |
795623 |
Total Medical Medicare Allowed Amount |
200863.63 |
Total Medical Medicare Payment Amount |
147954.96 |
Total Medical Medicare Standardized Payment Amount |
155934.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
640 |
Number Of Beneficiaries Age 65 to 74 |
1077 |
Number Of Beneficiaries Age 75 to 84 |
972 |
Number Of Beneficiaries Age Greater 84 |
544 |
Number Of Female Beneficiaries |
1977 |
Number Of Male Beneficiaries |
1256 |
Number Of Non Hispanic White Beneficiaries |
1696 |
Number Of Black or African American Beneficiaries |
218 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
1250 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
907 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2859 |