National Provider Identifier [NPI]: |
1932175601 |
Last Name Of The Provider |
ALVAREZ |
First Name Of The Provider |
FLAVIO |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11481 TOEPPERWEIN RD |
Street Address 2 Of The Provider |
STE 1202 |
City Of The Provider |
LIVE OAK |
Zip Code Of The Provider |
782333145 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4509 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
528742 |
Total Medicare Allowed Amount |
418125.66 |
Total Medicare Payment Amount |
316487.28 |
Total Medicare Standardized Payment Amount |
330945.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1171 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
29265 |
Total Drug Medicare AllowedAmount |
13413.41 |
Total Drug Medicare PaymentAmount |
10240.38 |
Total Drug Medicare Standardized Payment Amount |
10240.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3338 |
Number Of Medicare Beneficiaries With Medical Services |
698 |
Total Medical Submitted Charge Amount |
499477 |
Total Medical Medicare Allowed Amount |
404712.25 |
Total Medical Medicare Payment Amount |
306246.9 |
Total Medical Medicare Standardized Payment Amount |
320705.2 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
284 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.0299 |