National Provider Identifier [NPI]: |
1730185752 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
RANDY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1553 W COLLIN RAYE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DE QUEEN |
Zip Code Of The Provider |
718323801 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
12468 |
Number Of Medicare Beneficiaries |
620 |
Total Submitted Charge Amount |
656928 |
Total Medicare Allowed Amount |
386847.58 |
Total Medicare Payment Amount |
281957.94 |
Total Medicare Standardized Payment Amount |
311775.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
600 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
9384 |
Total Drug Medicare AllowedAmount |
5382.51 |
Total Drug Medicare PaymentAmount |
4609.91 |
Total Drug Medicare Standardized Payment Amount |
4609.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
11868 |
Number Of Medicare Beneficiaries With Medical Services |
620 |
Total Medical Submitted Charge Amount |
647544 |
Total Medical Medicare Allowed Amount |
381465.07 |
Total Medical Medicare Payment Amount |
277348.03 |
Total Medical Medicare Standardized Payment Amount |
307165.19 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
343 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0546 |