National Provider Identifier [NPI]: |
1235204918 |
Last Name Of The Provider |
HUBER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 W FRANK AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LUFKIN |
Zip Code Of The Provider |
759043303 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3733 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
240747.68 |
Total Medicare Allowed Amount |
237567.38 |
Total Medicare Payment Amount |
173863.68 |
Total Medicare Standardized Payment Amount |
176985.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
9074.15 |
Total Drug Medicare AllowedAmount |
9029.82 |
Total Drug Medicare PaymentAmount |
8738.95 |
Total Drug Medicare Standardized Payment Amount |
8738.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3349 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
231673.53 |
Total Medical Medicare Allowed Amount |
228537.56 |
Total Medical Medicare Payment Amount |
165124.73 |
Total Medical Medicare Standardized Payment Amount |
168246.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
586 |
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 |
575 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1983 |