National Provider Identifier [NPI]: |
1891899084 |
Last Name Of The Provider |
CIGARROA |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
702 E CALTON RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LAREDO |
Zip Code Of The Provider |
780413988 |
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 |
82 |
Number Of Services |
17918 |
Number Of Medicare Beneficiaries |
3046 |
Total Submitted Charge Amount |
2489962 |
Total Medicare Allowed Amount |
1246278.21 |
Total Medicare Payment Amount |
910234.71 |
Total Medicare Standardized Payment Amount |
969090.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
426 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
4785 |
Total Drug Medicare AllowedAmount |
615.36 |
Total Drug Medicare PaymentAmount |
478.55 |
Total Drug Medicare Standardized Payment Amount |
478.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
17492 |
Number Of Medicare Beneficiaries With Medical Services |
3046 |
Total Medical Submitted Charge Amount |
2485177 |
Total Medical Medicare Allowed Amount |
1245662.85 |
Total Medical Medicare Payment Amount |
909756.16 |
Total Medical Medicare Standardized Payment Amount |
968612.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
446 |
Number Of Beneficiaries Age 65 to 74 |
1072 |
Number Of Beneficiaries Age 75 to 84 |
992 |
Number Of Beneficiaries Age Greater 84 |
536 |
Number Of Female Beneficiaries |
1688 |
Number Of Male Beneficiaries |
1358 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
2743 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1864 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0925 |