National Provider Identifier [NPI]: |
1386609154 |
Last Name Of The Provider |
ZORRILLA |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 REGIONAL MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHARTON |
Zip Code Of The Provider |
774889719 |
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 |
152 |
Number Of Services |
11377 |
Number Of Medicare Beneficiaries |
1668 |
Total Submitted Charge Amount |
1756234.31 |
Total Medicare Allowed Amount |
483726.65 |
Total Medicare Payment Amount |
358520.7 |
Total Medicare Standardized Payment Amount |
381812.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2783 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
73123.42 |
Total Drug Medicare AllowedAmount |
28793.92 |
Total Drug Medicare PaymentAmount |
22215.2 |
Total Drug Medicare Standardized Payment Amount |
22215.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
8594 |
Number Of Medicare Beneficiaries With Medical Services |
1668 |
Total Medical Submitted Charge Amount |
1683110.89 |
Total Medical Medicare Allowed Amount |
454932.73 |
Total Medical Medicare Payment Amount |
336305.5 |
Total Medical Medicare Standardized Payment Amount |
359596.88 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
278 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
888 |
Number Of Male Beneficiaries |
780 |
Number Of Non Hispanic White Beneficiaries |
992 |
Number Of Black or African American Beneficiaries |
304 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
337 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
550 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8872 |