National Provider Identifier [NPI]: |
1215991906 |
Last Name Of The Provider |
LANDER |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 N HALL ST |
Street Address 2 Of The Provider |
STE. 500 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752261339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
3979 |
Number Of Medicare Beneficiaries |
1266 |
Total Submitted Charge Amount |
830049.29 |
Total Medicare Allowed Amount |
350611.47 |
Total Medicare Payment Amount |
266480.51 |
Total Medicare Standardized Payment Amount |
269087.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
222 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
26950 |
Total Drug Medicare AllowedAmount |
11016.06 |
Total Drug Medicare PaymentAmount |
8636.53 |
Total Drug Medicare Standardized Payment Amount |
8636.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
3757 |
Number Of Medicare Beneficiaries With Medical Services |
1266 |
Total Medical Submitted Charge Amount |
803099.29 |
Total Medical Medicare Allowed Amount |
339595.41 |
Total Medical Medicare Payment Amount |
257843.98 |
Total Medical Medicare Standardized Payment Amount |
260451.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
887 |
Number Of Black or African American Beneficiaries |
255 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2878 |