National Provider Identifier [NPI]: |
1689675753 |
Last Name Of The Provider |
ALLMAN |
First Name Of The Provider |
VALARIE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
815 S WASHINGTON AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MARSHALL |
Zip Code Of The Provider |
756705369 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
18829 |
Number Of Medicare Beneficiaries |
758 |
Total Submitted Charge Amount |
1053141.44 |
Total Medicare Allowed Amount |
463053.83 |
Total Medicare Payment Amount |
362374.03 |
Total Medicare Standardized Payment Amount |
375353.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
7992 |
Number Of Medicare Beneficiaries With Drug Services |
468 |
Total Drug Submitted ChargeAmount |
167209 |
Total Drug Medicare AllowedAmount |
124208.35 |
Total Drug Medicare PaymentAmount |
98952.03 |
Total Drug Medicare Standardized Payment Amount |
98952.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
10837 |
Number Of Medicare Beneficiaries With Medical Services |
757 |
Total Medical Submitted Charge Amount |
885932.44 |
Total Medical Medicare Allowed Amount |
338845.48 |
Total Medical Medicare Payment Amount |
263422 |
Total Medical Medicare Standardized Payment Amount |
276401.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
135 |
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 |
624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2123 |