National Provider Identifier [NPI]: |
1972769008 |
Last Name Of The Provider |
SYNEK |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 RAYFORD RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SPRING |
Zip Code Of The Provider |
773861561 |
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 |
57 |
Number Of Services |
1438 |
Number Of Medicare Beneficiaries |
172 |
Total Submitted Charge Amount |
337563.65 |
Total Medicare Allowed Amount |
89680.53 |
Total Medicare Payment Amount |
68300.98 |
Total Medicare Standardized Payment Amount |
66959.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
489 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
9051.54 |
Total Drug Medicare AllowedAmount |
2650.92 |
Total Drug Medicare PaymentAmount |
2063.38 |
Total Drug Medicare Standardized Payment Amount |
2063.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
949 |
Number Of Medicare Beneficiaries With Medical Services |
172 |
Total Medical Submitted Charge Amount |
328512.11 |
Total Medical Medicare Allowed Amount |
87029.61 |
Total Medical Medicare Payment Amount |
66237.6 |
Total Medical Medicare Standardized Payment Amount |
64896.15 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
97 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
129 |
Number Of Black or African American Beneficiaries |
24 |
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 |
127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9227 |