| National Provider Identifier [NPI]: | 1407902182 |
| Last Name Of The Provider | LARES |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 902 S AIRPORT DR SUITE 4 |
| Street Address 2 Of The Provider | RIO GRANDE VALLEY ADULT & INTERNAL MEDICINE SPECIALISTS |
| City Of The Provider | WESLACO |
| Zip Code Of The Provider | 785966654 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 56 |
| Number Of Services | 9954 |
| Number Of Medicare Beneficiaries | 986 |
| Total Submitted Charge Amount | 746154 |
| Total Medicare Allowed Amount | 460917.96 |
| Total Medicare Payment Amount | 359992.7 |
| Total Medicare Standardized Payment Amount | 377396.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 2634 |
| Number Of Medicare Beneficiaries With Drug Services | 490 |
| Total Drug Submitted ChargeAmount | 55890 |
| Total Drug Medicare AllowedAmount | 8517.25 |
| Total Drug Medicare PaymentAmount | 7993.13 |
| Total Drug Medicare Standardized Payment Amount | 7993.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 49 |
| Number Of Medical Services | 7320 |
| Number Of Medicare Beneficiaries With Medical Services | 986 |
| Total Medical Submitted Charge Amount | 690264 |
| Total Medical Medicare Allowed Amount | 452400.71 |
| Total Medical Medicare Payment Amount | 351999.57 |
| Total Medical Medicare Standardized Payment Amount | 369403.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 152 |
| Number Of Beneficiaries Age 65 to 74 | 341 |
| Number Of Beneficiaries Age 75 to 84 | 336 |
| Number Of Beneficiaries Age Greater 84 | 157 |
| Number Of Female Beneficiaries | 581 |
| Number Of Male Beneficiaries | 405 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 757 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 322 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 664 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 55 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 57 |
| Percent Of With Diabetes | 75 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 22 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.9944 |