National Provider Identifier [NPI]: |
1043280381 |
Last Name Of The Provider |
NEIMAN |
First Name Of The Provider |
ABIGAIL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
902 FROSTWOOD DR |
Street Address 2 Of The Provider |
SUITE # 311 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242420 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
24472 |
Number Of Medicare Beneficiaries |
255 |
Total Submitted Charge Amount |
1103549.11 |
Total Medicare Allowed Amount |
648874.11 |
Total Medicare Payment Amount |
501171.49 |
Total Medicare Standardized Payment Amount |
496184.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
22414 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
887947.11 |
Total Drug Medicare AllowedAmount |
520772.03 |
Total Drug Medicare PaymentAmount |
406459.59 |
Total Drug Medicare Standardized Payment Amount |
406459.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
2058 |
Number Of Medicare Beneficiaries With Medical Services |
255 |
Total Medical Submitted Charge Amount |
215602 |
Total Medical Medicare Allowed Amount |
128102.08 |
Total Medical Medicare Payment Amount |
94711.9 |
Total Medical Medicare Standardized Payment Amount |
89724.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
205 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2252 |