National Provider Identifier [NPI]: |
1942200845 |
Last Name Of The Provider |
OCHOA |
First Name Of The Provider |
ALFONSO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
909 S AIRPORT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESLACO |
Zip Code Of The Provider |
785966651 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
20267 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
1090209.01 |
Total Medicare Allowed Amount |
589602.68 |
Total Medicare Payment Amount |
455005.1 |
Total Medicare Standardized Payment Amount |
475607.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
771 |
Number Of Medicare Beneficiaries With Drug Services |
331 |
Total Drug Submitted ChargeAmount |
24883.01 |
Total Drug Medicare AllowedAmount |
13255.44 |
Total Drug Medicare PaymentAmount |
12703.82 |
Total Drug Medicare Standardized Payment Amount |
12703.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
19496 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
1065326 |
Total Medical Medicare Allowed Amount |
576347.24 |
Total Medical Medicare Payment Amount |
442301.28 |
Total Medical Medicare Standardized Payment Amount |
462903.83 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
366 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
461 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1979 |