National Provider Identifier [NPI]: |
1982665550 |
Last Name Of The Provider |
STRANGE |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1905 SW H K DODGEN LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPLE |
Zip Code Of The Provider |
765021814 |
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 |
195 |
Number Of Services |
14453 |
Number Of Medicare Beneficiaries |
3888 |
Total Submitted Charge Amount |
1972052.64 |
Total Medicare Allowed Amount |
385070.3 |
Total Medicare Payment Amount |
297944.2 |
Total Medicare Standardized Payment Amount |
315656.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3826 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
11062.42 |
Total Drug Medicare AllowedAmount |
862.81 |
Total Drug Medicare PaymentAmount |
670.49 |
Total Drug Medicare Standardized Payment Amount |
670.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
10627 |
Number Of Medicare Beneficiaries With Medical Services |
3888 |
Total Medical Submitted Charge Amount |
1960990.22 |
Total Medical Medicare Allowed Amount |
384207.49 |
Total Medical Medicare Payment Amount |
297273.71 |
Total Medical Medicare Standardized Payment Amount |
314985.93 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
1065 |
Number Of Beneficiaries Age 65 to 74 |
1596 |
Number Of Beneficiaries Age 75 to 84 |
902 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
2464 |
Number Of Male Beneficiaries |
1424 |
Number Of Non Hispanic White Beneficiaries |
2459 |
Number Of Black or African American Beneficiaries |
808 |
Number Of AsianPacific Islander Beneficiaries |
100 |
Number Of Hispanic Beneficiaries |
446 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
915 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5219 |