National Provider Identifier [NPI]: |
1134248537 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12554 RIATA VISTA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787276431 |
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 |
152 |
Number Of Services |
7512 |
Number Of Medicare Beneficiaries |
3083 |
Total Submitted Charge Amount |
783240.8 |
Total Medicare Allowed Amount |
313929.06 |
Total Medicare Payment Amount |
265227.44 |
Total Medicare Standardized Payment Amount |
265855.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2398 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
8834.8 |
Total Drug Medicare AllowedAmount |
1746.48 |
Total Drug Medicare PaymentAmount |
1278.69 |
Total Drug Medicare Standardized Payment Amount |
1278.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
5114 |
Number Of Medicare Beneficiaries With Medical Services |
3081 |
Total Medical Submitted Charge Amount |
774406 |
Total Medical Medicare Allowed Amount |
312182.58 |
Total Medical Medicare Payment Amount |
263948.75 |
Total Medical Medicare Standardized Payment Amount |
264576.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
1585 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
2455 |
Number Of Male Beneficiaries |
628 |
Number Of Non Hispanic White Beneficiaries |
2406 |
Number Of Black or African American Beneficiaries |
267 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
304 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2243 |