National Provider Identifier [NPI]: |
1013008754 |
Last Name Of The Provider |
CURRIE |
First Name Of The Provider |
TULLY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2818 S LIPSCOMB ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791093532 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
7979 |
Number Of Medicare Beneficiaries |
4076 |
Total Submitted Charge Amount |
750399.65 |
Total Medicare Allowed Amount |
184354.33 |
Total Medicare Payment Amount |
145863.43 |
Total Medicare Standardized Payment Amount |
153589.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1041 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
893.65 |
Total Drug Medicare AllowedAmount |
208.23 |
Total Drug Medicare PaymentAmount |
156.06 |
Total Drug Medicare Standardized Payment Amount |
156.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
6938 |
Number Of Medicare Beneficiaries With Medical Services |
4076 |
Total Medical Submitted Charge Amount |
749506 |
Total Medical Medicare Allowed Amount |
184146.1 |
Total Medical Medicare Payment Amount |
145707.37 |
Total Medical Medicare Standardized Payment Amount |
153433 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
573 |
Number Of Beneficiaries Age 65 to 74 |
1465 |
Number Of Beneficiaries Age 75 to 84 |
1384 |
Number Of Beneficiaries Age Greater 84 |
654 |
Number Of Female Beneficiaries |
2834 |
Number Of Male Beneficiaries |
1242 |
Number Of Non Hispanic White Beneficiaries |
3334 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
556 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
3150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
926 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5145 |