| National Provider Identifier [NPI]: | 1184611626 |
| Last Name Of The Provider | RIVERA |
| 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 | 6601 PRESTON RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PLANO |
| Zip Code Of The Provider | 750242502 |
| 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 | 81 |
| Number Of Services | 34522 |
| Number Of Medicare Beneficiaries | 3506 |
| Total Submitted Charge Amount | 2585460.64 |
| Total Medicare Allowed Amount | 884519.84 |
| Total Medicare Payment Amount | 658846.51 |
| Total Medicare Standardized Payment Amount | 715688.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 25694 |
| Number Of Medicare Beneficiaries With Drug Services | 536 |
| Total Drug Submitted ChargeAmount | 166653.2 |
| Total Drug Medicare AllowedAmount | 60230.47 |
| Total Drug Medicare PaymentAmount | 46551.01 |
| Total Drug Medicare Standardized Payment Amount | 46551.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 76 |
| Number Of Medical Services | 8828 |
| Number Of Medicare Beneficiaries With Medical Services | 3506 |
| Total Medical Submitted Charge Amount | 2418807.44 |
| Total Medical Medicare Allowed Amount | 824289.37 |
| Total Medical Medicare Payment Amount | 612295.5 |
| Total Medical Medicare Standardized Payment Amount | 669137.89 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 160 |
| Number Of Beneficiaries Age 65 to 74 | 1684 |
| Number Of Beneficiaries Age 75 to 84 | 1224 |
| Number Of Beneficiaries Age Greater 84 | 438 |
| Number Of Female Beneficiaries | 1666 |
| Number Of Male Beneficiaries | 1840 |
| Number Of Non Hispanic White Beneficiaries | 3129 |
| Number Of Black or African American Beneficiaries | 97 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | 144 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3279 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 227 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3976 |