National Provider Identifier [NPI]: |
1730175860 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
MARK |
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 |
5236 W. UNIVERSITY DR. |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
MCKINNEY |
Zip Code Of The Provider |
75071 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
9105 |
Number Of Medicare Beneficiaries |
610 |
Total Submitted Charge Amount |
926675 |
Total Medicare Allowed Amount |
240497.12 |
Total Medicare Payment Amount |
181690.93 |
Total Medicare Standardized Payment Amount |
191428.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
5263 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
124149 |
Total Drug Medicare AllowedAmount |
25502.14 |
Total Drug Medicare PaymentAmount |
19923.34 |
Total Drug Medicare Standardized Payment Amount |
19923.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3842 |
Number Of Medicare Beneficiaries With Medical Services |
610 |
Total Medical Submitted Charge Amount |
802526 |
Total Medical Medicare Allowed Amount |
214994.98 |
Total Medical Medicare Payment Amount |
161767.59 |
Total Medical Medicare Standardized Payment Amount |
171505.28 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0226 |