National Provider Identifier [NPI]: |
1881781862 |
Last Name Of The Provider |
DUMITRESCU |
First Name Of The Provider |
MIHNEA |
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 |
4316 BEE CAVES RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
WESTLAKE HILLS |
Zip Code Of The Provider |
787461113 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3724 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
844859.2 |
Total Medicare Allowed Amount |
327600.36 |
Total Medicare Payment Amount |
250803.18 |
Total Medicare Standardized Payment Amount |
235153.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1348 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
20123 |
Total Drug Medicare AllowedAmount |
3579.24 |
Total Drug Medicare PaymentAmount |
2754.43 |
Total Drug Medicare Standardized Payment Amount |
2754.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2376 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
824736.2 |
Total Medical Medicare Allowed Amount |
324021.12 |
Total Medical Medicare Payment Amount |
248048.75 |
Total Medical Medicare Standardized Payment Amount |
232398.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1747 |