National Provider Identifier [NPI]: |
1629015003 |
Last Name Of The Provider |
DOZIER |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 N TREADAWAY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796011953 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
31313 |
Number Of Medicare Beneficiaries |
1369 |
Total Submitted Charge Amount |
4124805 |
Total Medicare Allowed Amount |
1202884.39 |
Total Medicare Payment Amount |
904359.93 |
Total Medicare Standardized Payment Amount |
860003.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
20814 |
Number Of Medicare Beneficiaries With Drug Services |
1105 |
Total Drug Submitted ChargeAmount |
167130 |
Total Drug Medicare AllowedAmount |
61946.98 |
Total Drug Medicare PaymentAmount |
46993.58 |
Total Drug Medicare Standardized Payment Amount |
46993.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
10499 |
Number Of Medicare Beneficiaries With Medical Services |
1369 |
Total Medical Submitted Charge Amount |
3957675 |
Total Medical Medicare Allowed Amount |
1140937.41 |
Total Medical Medicare Payment Amount |
857366.35 |
Total Medical Medicare Standardized Payment Amount |
813009.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
843 |
Number Of Male Beneficiaries |
526 |
Number Of Non Hispanic White Beneficiaries |
1215 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1100 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2302 |