National Provider Identifier [NPI]: |
1891715769 |
Last Name Of The Provider |
GARZA |
First Name Of The Provider |
JUAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1933 NE LOOP 410 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782175320 |
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 |
52 |
Number Of Services |
5282 |
Number Of Medicare Beneficiaries |
1211 |
Total Submitted Charge Amount |
1340944.71 |
Total Medicare Allowed Amount |
429810.2 |
Total Medicare Payment Amount |
313081.66 |
Total Medicare Standardized Payment Amount |
339370.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
484 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
63371.5 |
Total Drug Medicare AllowedAmount |
25641.5 |
Total Drug Medicare PaymentAmount |
19603.45 |
Total Drug Medicare Standardized Payment Amount |
19603.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4798 |
Number Of Medicare Beneficiaries With Medical Services |
1211 |
Total Medical Submitted Charge Amount |
1277573.21 |
Total Medical Medicare Allowed Amount |
404168.7 |
Total Medical Medicare Payment Amount |
293478.21 |
Total Medical Medicare Standardized Payment Amount |
319766.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
526 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
588 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
302 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3044 |