Medicare Facts for Dr. Judy Miramontes, MD


National Provider Identifier [NPI]: 1477534345
Last Name Of The Provider MIRAMONTES
First Name Of The Provider JUDY
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 275 W HERNDON AVE
Street Address 2 Of The Provider
City Of The Provider CLOVIS
Zip Code Of The Provider 936120204
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 233
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 28830
Total Medicare Allowed Amount 17808.16
Total Medicare Payment Amount 12236.43
Total Medicare Standardized Payment Amount 11978.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 23
Number Of Medicare Beneficiaries With Drug Services 16
Total Drug Submitted ChargeAmount 1049
Total Drug Medicare AllowedAmount 601.21
Total Drug Medicare PaymentAmount 588.42
Total Drug Medicare Standardized Payment Amount 588.42
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 210
Number Of Medicare Beneficiaries With Medical Services 48
Total Medical Submitted Charge Amount 27781
Total Medical Medicare Allowed Amount 17206.95
Total Medical Medicare Payment Amount 11648.01
Total Medical Medicare Standardized Payment Amount 11390.48
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 32
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 31
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 48
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 23
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7155

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