National Provider Identifier [NPI]: |
1932175981 |
Last Name Of The Provider |
SOYA |
First Name Of The Provider |
D |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 PORT LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062430 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
33468 |
Number Of Medicare Beneficiaries |
4250 |
Total Submitted Charge Amount |
5604088.21 |
Total Medicare Allowed Amount |
1689269.52 |
Total Medicare Payment Amount |
1280972.83 |
Total Medicare Standardized Payment Amount |
1330342.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
16988 |
Number Of Medicare Beneficiaries With Drug Services |
536 |
Total Drug Submitted ChargeAmount |
216432 |
Total Drug Medicare AllowedAmount |
101242.72 |
Total Drug Medicare PaymentAmount |
78232.56 |
Total Drug Medicare Standardized Payment Amount |
78232.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
16480 |
Number Of Medicare Beneficiaries With Medical Services |
4250 |
Total Medical Submitted Charge Amount |
5387656.21 |
Total Medical Medicare Allowed Amount |
1588026.8 |
Total Medical Medicare Payment Amount |
1202740.27 |
Total Medical Medicare Standardized Payment Amount |
1252109.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
423 |
Number Of Beneficiaries Age 65 to 74 |
1656 |
Number Of Beneficiaries Age 75 to 84 |
1491 |
Number Of Beneficiaries Age Greater 84 |
680 |
Number Of Female Beneficiaries |
2371 |
Number Of Male Beneficiaries |
1879 |
Number Of Non Hispanic White Beneficiaries |
3639 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
437 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
3535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
715 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5215 |