| National Provider Identifier [NPI]: | 1356338347 |
| Last Name Of The Provider | HERNANDEZ |
| First Name Of The Provider | JORGE |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 755 N 11TH ST |
| Street Address 2 Of The Provider | SUITE P2200 |
| City Of The Provider | BEAUMONT |
| Zip Code Of The Provider | 777021500 |
| 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 | 154 |
| Number Of Services | 36380 |
| Number Of Medicare Beneficiaries | 3524 |
| Total Submitted Charge Amount | 11967555.52 |
| Total Medicare Allowed Amount | 2028510.08 |
| Total Medicare Payment Amount | 1547582.02 |
| Total Medicare Standardized Payment Amount | 1637104.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 25214 |
| Number Of Medicare Beneficiaries With Drug Services | 695 |
| Total Drug Submitted ChargeAmount | 199454 |
| Total Drug Medicare AllowedAmount | 14508.3 |
| Total Drug Medicare PaymentAmount | 11055.66 |
| Total Drug Medicare Standardized Payment Amount | 11055.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 11166 |
| Number Of Medicare Beneficiaries With Medical Services | 3521 |
| Total Medical Submitted Charge Amount | 11768101.52 |
| Total Medical Medicare Allowed Amount | 2014001.78 |
| Total Medical Medicare Payment Amount | 1536526.36 |
| Total Medical Medicare Standardized Payment Amount | 1626048.55 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 446 |
| Number Of Beneficiaries Age 65 to 74 | 1378 |
| Number Of Beneficiaries Age 75 to 84 | 1184 |
| Number Of Beneficiaries Age Greater 84 | 516 |
| Number Of Female Beneficiaries | 1883 |
| Number Of Male Beneficiaries | 1641 |
| Number Of Non Hispanic White Beneficiaries | 2846 |
| Number Of Black or African American Beneficiaries | 563 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 77 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2796 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 728 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7086 |