National Provider Identifier [NPI]: |
1528054749 |
Last Name Of The Provider |
FARRA |
First Name Of The Provider |
YASSER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1626 E COMMON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BRAUNFELS |
Zip Code Of The Provider |
781303156 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
10285 |
Number Of Medicare Beneficiaries |
1244 |
Total Submitted Charge Amount |
2554541 |
Total Medicare Allowed Amount |
638980.25 |
Total Medicare Payment Amount |
487337.36 |
Total Medicare Standardized Payment Amount |
518303.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
704 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
103985 |
Total Drug Medicare AllowedAmount |
36664.14 |
Total Drug Medicare PaymentAmount |
28573.64 |
Total Drug Medicare Standardized Payment Amount |
28573.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
9581 |
Number Of Medicare Beneficiaries With Medical Services |
1244 |
Total Medical Submitted Charge Amount |
2450556 |
Total Medical Medicare Allowed Amount |
602316.11 |
Total Medical Medicare Payment Amount |
458763.72 |
Total Medical Medicare Standardized Payment Amount |
489729.63 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
629 |
Number Of Non Hispanic White Beneficiaries |
1070 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1089 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3897 |