National Provider Identifier [NPI]: |
1770691123 |
Last Name Of The Provider |
MCPHERSON |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3142 HORIZON RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ROCKWALL |
Zip Code Of The Provider |
750327809 |
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 |
74 |
Number Of Services |
2836 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
1218705.18 |
Total Medicare Allowed Amount |
233308.16 |
Total Medicare Payment Amount |
174772.01 |
Total Medicare Standardized Payment Amount |
177478.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
7080 |
Total Drug Medicare AllowedAmount |
1758.1 |
Total Drug Medicare PaymentAmount |
1375.33 |
Total Drug Medicare Standardized Payment Amount |
1375.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
2640 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
1211625.18 |
Total Medical Medicare Allowed Amount |
231550.06 |
Total Medical Medicare Payment Amount |
173396.68 |
Total Medical Medicare Standardized Payment Amount |
176103.01 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
365 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
638 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1487 |