National Provider Identifier [NPI]: |
1932130820 |
Last Name Of The Provider |
GRIFFIN |
First Name Of The Provider |
DUANE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MPAS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5364 FREDERICKSBURG RD BLDG D |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782296188 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
1973 |
Number Of Medicare Beneficiaries |
233 |
Total Submitted Charge Amount |
128709 |
Total Medicare Allowed Amount |
56720.04 |
Total Medicare Payment Amount |
46949.37 |
Total Medicare Standardized Payment Amount |
48743.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
412 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
12121 |
Total Drug Medicare AllowedAmount |
4140.62 |
Total Drug Medicare PaymentAmount |
3236.67 |
Total Drug Medicare Standardized Payment Amount |
3236.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1561 |
Number Of Medicare Beneficiaries With Medical Services |
233 |
Total Medical Submitted Charge Amount |
116588 |
Total Medical Medicare Allowed Amount |
52579.42 |
Total Medical Medicare Payment Amount |
43712.7 |
Total Medical Medicare Standardized Payment Amount |
45507.27 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
139 |
Number Of Male Beneficiaries |
94 |
Number Of Non Hispanic White Beneficiaries |
119 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4332 |