Medicare Facts for Dr. Frank J. Rubalcava, MD


National Provider Identifier [NPI]: 1851387070
Last Name Of The Provider RUBALCAVA
First Name Of The Provider FRANK
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1626 E COMMON ST
Street Address 2 Of The Provider
City Of The Provider NEW BRAUNFELS
Zip Code Of The Provider 781303156
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 91
Number Of Services 11298.6
Number Of Medicare Beneficiaries 1101
Total Submitted Charge Amount 2311577.95
Total Medicare Allowed Amount 597866.94
Total Medicare Payment Amount 449325.36
Total Medicare Standardized Payment Amount 478121.07
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 405
Number Of Medicare Beneficiaries With Drug Services 106
Total Drug Submitted ChargeAmount 60295
Total Drug Medicare AllowedAmount 21108.2
Total Drug Medicare PaymentAmount 16281.04
Total Drug Medicare Standardized Payment Amount 16281.04
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 10893.6
Number Of Medicare Beneficiaries With Medical Services 1101
Total Medical Submitted Charge Amount 2251282.95
Total Medical Medicare Allowed Amount 576758.74
Total Medical Medicare Payment Amount 433044.32
Total Medical Medicare Standardized Payment Amount 461840.03
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 82
Number Of Beneficiaries Age 65 to 74 390
Number Of Beneficiaries Age 75 to 84 401
Number Of Beneficiaries Age Greater 84 228
Number Of Female Beneficiaries 596
Number Of Male Beneficiaries 505
Number Of Non Hispanic White Beneficiaries 922
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 165
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 969
Number Of Beneficiaries With Medicare Medicaid Entitlement 132
Percent Of With Atrial Fibrillation 34
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 37
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 20
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 70
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.556

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