National Provider Identifier [NPI]: |
1528061884 |
Last Name Of The Provider |
VIK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6836 BEE CAVES RD |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787465059 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
6923 |
Number Of Medicare Beneficiaries |
1311 |
Total Submitted Charge Amount |
552782.65 |
Total Medicare Allowed Amount |
281044.31 |
Total Medicare Payment Amount |
197068.59 |
Total Medicare Standardized Payment Amount |
201606.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
26 |
Number Of Drug Services |
1491 |
Number Of Medicare Beneficiaries With Drug Services |
347 |
Total Drug Submitted ChargeAmount |
41661 |
Total Drug Medicare AllowedAmount |
6006.26 |
Total Drug Medicare PaymentAmount |
5137.01 |
Total Drug Medicare Standardized Payment Amount |
5137.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
5432 |
Number Of Medicare Beneficiaries With Medical Services |
1310 |
Total Medical Submitted Charge Amount |
511121.65 |
Total Medical Medicare Allowed Amount |
275038.05 |
Total Medical Medicare Payment Amount |
191931.58 |
Total Medical Medicare Standardized Payment Amount |
196469.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
798 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
793 |
Number Of Male Beneficiaries |
518 |
Number Of Non Hispanic White Beneficiaries |
1217 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7487 |