National Provider Identifier [NPI]: |
1528095502 |
Last Name Of The Provider |
GARVIN |
First Name Of The Provider |
CLIFFORD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 HWY 91 NORTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
DENISON |
Zip Code Of The Provider |
75020 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
9503 |
Number Of Medicare Beneficiaries |
926 |
Total Submitted Charge Amount |
1465663 |
Total Medicare Allowed Amount |
702471.8 |
Total Medicare Payment Amount |
520503.87 |
Total Medicare Standardized Payment Amount |
543942.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
3612 |
Total Drug Medicare AllowedAmount |
1316.89 |
Total Drug Medicare PaymentAmount |
1273.17 |
Total Drug Medicare Standardized Payment Amount |
1273.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
9386 |
Number Of Medicare Beneficiaries With Medical Services |
926 |
Total Medical Submitted Charge Amount |
1462051 |
Total Medical Medicare Allowed Amount |
701154.91 |
Total Medical Medicare Payment Amount |
519230.7 |
Total Medical Medicare Standardized Payment Amount |
542669.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
831 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
34 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
443 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9131 |