National Provider Identifier [NPI]: |
1154327047 |
Last Name Of The Provider |
GRUHLKEY |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
952 GRUENE RD STE 150 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BRAUNFELS |
Zip Code Of The Provider |
781303920 |
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 |
48 |
Number Of Services |
2261 |
Number Of Medicare Beneficiaries |
129 |
Total Submitted Charge Amount |
93703.01 |
Total Medicare Allowed Amount |
58094.76 |
Total Medicare Payment Amount |
45191.44 |
Total Medicare Standardized Payment Amount |
44703.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
3465.01 |
Total Drug Medicare AllowedAmount |
1624.42 |
Total Drug Medicare PaymentAmount |
1426.93 |
Total Drug Medicare Standardized Payment Amount |
1426.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2059 |
Number Of Medicare Beneficiaries With Medical Services |
129 |
Total Medical Submitted Charge Amount |
90238 |
Total Medical Medicare Allowed Amount |
56470.34 |
Total Medical Medicare Payment Amount |
43764.51 |
Total Medical Medicare Standardized Payment Amount |
43276.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
72 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
110 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7762 |