National Provider Identifier [NPI]: |
1568447407 |
Last Name Of The Provider |
HANKINS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 BINZ ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770046900 |
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 |
117 |
Number Of Services |
5869 |
Number Of Medicare Beneficiaries |
2054 |
Total Submitted Charge Amount |
1369355 |
Total Medicare Allowed Amount |
228480.64 |
Total Medicare Payment Amount |
172190.84 |
Total Medicare Standardized Payment Amount |
173865.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3172 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
28004 |
Total Drug Medicare AllowedAmount |
3820.68 |
Total Drug Medicare PaymentAmount |
2975.08 |
Total Drug Medicare Standardized Payment Amount |
2975.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
2697 |
Number Of Medicare Beneficiaries With Medical Services |
2054 |
Total Medical Submitted Charge Amount |
1341351 |
Total Medical Medicare Allowed Amount |
224659.96 |
Total Medical Medicare Payment Amount |
169215.76 |
Total Medical Medicare Standardized Payment Amount |
170890.91 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
857 |
Number Of Beneficiaries Age 75 to 84 |
654 |
Number Of Beneficiaries Age Greater 84 |
281 |
Number Of Female Beneficiaries |
1231 |
Number Of Male Beneficiaries |
823 |
Number Of Non Hispanic White Beneficiaries |
1199 |
Number Of Black or African American Beneficiaries |
457 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
328 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
401 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.785 |