National Provider Identifier [NPI]: |
1124237979 |
Last Name Of The Provider |
HELMCAMP |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4280 RIDGEBEND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROUND ROCK |
Zip Code Of The Provider |
786655008 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
7358 |
Number Of Medicare Beneficiaries |
4492 |
Total Submitted Charge Amount |
759378 |
Total Medicare Allowed Amount |
175692.64 |
Total Medicare Payment Amount |
134767.06 |
Total Medicare Standardized Payment Amount |
140413.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
7358 |
Number Of Medicare Beneficiaries With Medical Services |
4492 |
Total Medical Submitted Charge Amount |
759378 |
Total Medical Medicare Allowed Amount |
175692.64 |
Total Medical Medicare Payment Amount |
134767.06 |
Total Medical Medicare Standardized Payment Amount |
140413.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
538 |
Number Of Beneficiaries Age 65 to 74 |
1987 |
Number Of Beneficiaries Age 75 to 84 |
1348 |
Number Of Beneficiaries Age Greater 84 |
619 |
Number Of Female Beneficiaries |
2859 |
Number Of Male Beneficiaries |
1633 |
Number Of Non Hispanic White Beneficiaries |
3863 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
310 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3787 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
705 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2678 |