National Provider Identifier [NPI]: |
1366440265 |
Last Name Of The Provider |
RUSHFORD |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21212 NORTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 345 |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
774295884 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
5086 |
Number Of Medicare Beneficiaries |
961 |
Total Submitted Charge Amount |
420603.82 |
Total Medicare Allowed Amount |
234800.43 |
Total Medicare Payment Amount |
170099.42 |
Total Medicare Standardized Payment Amount |
174459.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
3090 |
Total Drug Medicare AllowedAmount |
2368.52 |
Total Drug Medicare PaymentAmount |
2320.85 |
Total Drug Medicare Standardized Payment Amount |
2320.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
4932 |
Number Of Medicare Beneficiaries With Medical Services |
961 |
Total Medical Submitted Charge Amount |
417513.82 |
Total Medical Medicare Allowed Amount |
232431.91 |
Total Medical Medicare Payment Amount |
167778.57 |
Total Medical Medicare Standardized Payment Amount |
172138.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
619 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
769 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5649 |