National Provider Identifier [NPI]: |
1477642767 |
Last Name Of The Provider |
BEARD |
First Name Of The Provider |
VALERIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
P.A.-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3900 JUNIUS ST |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752461615 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1181 |
Number Of Medicare Beneficiaries |
342 |
Total Submitted Charge Amount |
370966.84 |
Total Medicare Allowed Amount |
77350.6 |
Total Medicare Payment Amount |
57257.43 |
Total Medicare Standardized Payment Amount |
66659.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
10099.84 |
Total Drug Medicare AllowedAmount |
4877.07 |
Total Drug Medicare PaymentAmount |
3702.44 |
Total Drug Medicare Standardized Payment Amount |
3702.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1073 |
Number Of Medicare Beneficiaries With Medical Services |
342 |
Total Medical Submitted Charge Amount |
360867 |
Total Medical Medicare Allowed Amount |
72473.53 |
Total Medical Medicare Payment Amount |
53554.99 |
Total Medical Medicare Standardized Payment Amount |
62956.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3772 |