National Provider Identifier [NPI]: |
1558311605 |
Last Name Of The Provider |
WHITFIELD |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5012 S US HIGHWAY 75 |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DENISON |
Zip Code Of The Provider |
750204587 |
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 |
68 |
Number Of Services |
11372 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
718622.5 |
Total Medicare Allowed Amount |
277013.03 |
Total Medicare Payment Amount |
220059.43 |
Total Medicare Standardized Payment Amount |
228933.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1403 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
58490 |
Total Drug Medicare AllowedAmount |
22216.93 |
Total Drug Medicare PaymentAmount |
17981.69 |
Total Drug Medicare Standardized Payment Amount |
17981.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
9969 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
660132.5 |
Total Medical Medicare Allowed Amount |
254796.1 |
Total Medical Medicare Payment Amount |
202077.74 |
Total Medical Medicare Standardized Payment Amount |
210951.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
389 |
Number Of Beneficiaries Age 75 to 84 |
283 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6118 |