National Provider Identifier [NPI]: |
1922058734 |
Last Name Of The Provider |
PITTS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7710 BEECHNUT ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770743106 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5247 |
Number Of Medicare Beneficiaries |
1292 |
Total Submitted Charge Amount |
1889312.5 |
Total Medicare Allowed Amount |
650685.57 |
Total Medicare Payment Amount |
464917.93 |
Total Medicare Standardized Payment Amount |
467844.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5247 |
Number Of Medicare Beneficiaries With Medical Services |
1292 |
Total Medical Submitted Charge Amount |
1889312.5 |
Total Medical Medicare Allowed Amount |
650685.57 |
Total Medical Medicare Payment Amount |
464917.93 |
Total Medical Medicare Standardized Payment Amount |
467844.18 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
514 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
811 |
Number Of Male Beneficiaries |
481 |
Number Of Non Hispanic White Beneficiaries |
853 |
Number Of Black or African American Beneficiaries |
157 |
Number Of AsianPacific Islander Beneficiaries |
108 |
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2387 |