National Provider Identifier [NPI]: |
1831126986 |
Last Name Of The Provider |
SILVERS |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4501 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MCKINNEY |
Zip Code Of The Provider |
750696802 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1302 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
191020.36 |
Total Medicare Allowed Amount |
77893.29 |
Total Medicare Payment Amount |
55870.34 |
Total Medicare Standardized Payment Amount |
59497.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
766 |
Total Drug Medicare AllowedAmount |
165.61 |
Total Drug Medicare PaymentAmount |
129.87 |
Total Drug Medicare Standardized Payment Amount |
129.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1266 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
190254.36 |
Total Medical Medicare Allowed Amount |
77727.68 |
Total Medical Medicare Payment Amount |
55740.47 |
Total Medical Medicare Standardized Payment Amount |
59367.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
301 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3087 |