National Provider Identifier [NPI]: |
1700929742 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 N GARFIELD |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
797015904 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
14035 |
Number Of Medicare Beneficiaries |
1313 |
Total Submitted Charge Amount |
1403393 |
Total Medicare Allowed Amount |
431625.19 |
Total Medicare Payment Amount |
312633.56 |
Total Medicare Standardized Payment Amount |
331030 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
336 |
Total Drug Medicare AllowedAmount |
100.75 |
Total Drug Medicare PaymentAmount |
73.38 |
Total Drug Medicare Standardized Payment Amount |
73.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
13987 |
Number Of Medicare Beneficiaries With Medical Services |
1313 |
Total Medical Submitted Charge Amount |
1403057 |
Total Medical Medicare Allowed Amount |
431524.44 |
Total Medical Medicare Payment Amount |
312560.18 |
Total Medical Medicare Standardized Payment Amount |
330956.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
620 |
Number Of Non Hispanic White Beneficiaries |
1129 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2713 |