National Provider Identifier [NPI]: |
1891752903 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
TERRENCE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
N64W24086 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUSSEX |
Zip Code Of The Provider |
530893002 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
4279 |
Number Of Medicare Beneficiaries |
293 |
Total Submitted Charge Amount |
454976 |
Total Medicare Allowed Amount |
185714.38 |
Total Medicare Payment Amount |
138789 |
Total Medicare Standardized Payment Amount |
141908.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1067 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
57701 |
Total Drug Medicare AllowedAmount |
24966.49 |
Total Drug Medicare PaymentAmount |
20539.11 |
Total Drug Medicare Standardized Payment Amount |
20539.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
3212 |
Number Of Medicare Beneficiaries With Medical Services |
293 |
Total Medical Submitted Charge Amount |
397275 |
Total Medical Medicare Allowed Amount |
160747.89 |
Total Medical Medicare Payment Amount |
118249.89 |
Total Medical Medicare Standardized Payment Amount |
121369.31 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0492 |