National Provider Identifier [NPI]: |
1427160795 |
Last Name Of The Provider |
BALSON |
First Name Of The Provider |
ANAND |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10864 TEXAS HEALTH TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
762444897 |
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 |
134 |
Number Of Services |
10551 |
Number Of Medicare Beneficiaries |
1088 |
Total Submitted Charge Amount |
752556.78 |
Total Medicare Allowed Amount |
429788.47 |
Total Medicare Payment Amount |
319861.62 |
Total Medicare Standardized Payment Amount |
338218.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
974 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
25111.28 |
Total Drug Medicare AllowedAmount |
15535.61 |
Total Drug Medicare PaymentAmount |
13924.61 |
Total Drug Medicare Standardized Payment Amount |
13924.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
9577 |
Number Of Medicare Beneficiaries With Medical Services |
1088 |
Total Medical Submitted Charge Amount |
727445.5 |
Total Medical Medicare Allowed Amount |
414252.86 |
Total Medical Medicare Payment Amount |
305937.01 |
Total Medical Medicare Standardized Payment Amount |
324293.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
754 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3612 |