National Provider Identifier [NPI]: |
1447238415 |
Last Name Of The Provider |
WORKMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4301 MAPLEWOOD AVE STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA FALLS |
Zip Code Of The Provider |
763083879 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
8205 |
Number Of Medicare Beneficiaries |
1300 |
Total Submitted Charge Amount |
1636340.35 |
Total Medicare Allowed Amount |
581406.6 |
Total Medicare Payment Amount |
401563.9 |
Total Medicare Standardized Payment Amount |
419196.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
312 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
21928 |
Total Drug Medicare AllowedAmount |
11828.86 |
Total Drug Medicare PaymentAmount |
7868.4 |
Total Drug Medicare Standardized Payment Amount |
7868.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
7893 |
Number Of Medicare Beneficiaries With Medical Services |
1300 |
Total Medical Submitted Charge Amount |
1614412.35 |
Total Medical Medicare Allowed Amount |
569577.74 |
Total Medical Medicare Payment Amount |
393695.5 |
Total Medical Medicare Standardized Payment Amount |
411328.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
386 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
872 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
1156 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4224 |