National Provider Identifier [NPI]: |
1972592517 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
NOEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 N 18TH ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796012948 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
54853 |
Number Of Medicare Beneficiaries |
1161 |
Total Submitted Charge Amount |
2833682.45 |
Total Medicare Allowed Amount |
1289459.1 |
Total Medicare Payment Amount |
1010958.1 |
Total Medicare Standardized Payment Amount |
1032260.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
29 |
Number Of Drug Services |
42991 |
Number Of Medicare Beneficiaries With Drug Services |
382 |
Total Drug Submitted ChargeAmount |
1887971.45 |
Total Drug Medicare AllowedAmount |
886246.96 |
Total Drug Medicare PaymentAmount |
687105.18 |
Total Drug Medicare Standardized Payment Amount |
687105.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
11862 |
Number Of Medicare Beneficiaries With Medical Services |
1160 |
Total Medical Submitted Charge Amount |
945711 |
Total Medical Medicare Allowed Amount |
403212.14 |
Total Medical Medicare Payment Amount |
323852.92 |
Total Medical Medicare Standardized Payment Amount |
345155.6 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
399 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
739 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
1067 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4465 |