National Provider Identifier [NPI]: |
1093775512 |
Last Name Of The Provider |
SANCHEZ |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 E DAWSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TYLER |
Zip Code Of The Provider |
757012036 |
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 |
267 |
Number Of Services |
10510 |
Number Of Medicare Beneficiaries |
6958 |
Total Submitted Charge Amount |
1178644.5 |
Total Medicare Allowed Amount |
305987.6 |
Total Medicare Payment Amount |
235300.23 |
Total Medicare Standardized Payment Amount |
248042.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
267 |
Number Of Medical Services |
10510 |
Number Of Medicare Beneficiaries With Medical Services |
6958 |
Total Medical Submitted Charge Amount |
1178644.5 |
Total Medical Medicare Allowed Amount |
305987.6 |
Total Medical Medicare Payment Amount |
235300.23 |
Total Medical Medicare Standardized Payment Amount |
248042.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1191 |
Number Of Beneficiaries Age 65 to 74 |
2521 |
Number Of Beneficiaries Age 75 to 84 |
2155 |
Number Of Beneficiaries Age Greater 84 |
1091 |
Number Of Female Beneficiaries |
3905 |
Number Of Male Beneficiaries |
3053 |
Number Of Non Hispanic White Beneficiaries |
5840 |
Number Of Black or African American Beneficiaries |
886 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
175 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
5249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1709 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7463 |