National Provider Identifier [NPI]: |
1619935137 |
Last Name Of The Provider |
SUAREZ |
First Name Of The Provider |
LORENZO |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 SOUTH 5TH STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRAWLEY |
Zip Code Of The Provider |
92227 |
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 |
114 |
Number Of Services |
11463 |
Number Of Medicare Beneficiaries |
897 |
Total Submitted Charge Amount |
1095342 |
Total Medicare Allowed Amount |
635946.05 |
Total Medicare Payment Amount |
467238.77 |
Total Medicare Standardized Payment Amount |
451171.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1764 |
Number Of Medicare Beneficiaries With Drug Services |
432 |
Total Drug Submitted ChargeAmount |
27942 |
Total Drug Medicare AllowedAmount |
17882.14 |
Total Drug Medicare PaymentAmount |
16873.85 |
Total Drug Medicare Standardized Payment Amount |
16873.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
9699 |
Number Of Medicare Beneficiaries With Medical Services |
897 |
Total Medical Submitted Charge Amount |
1067400 |
Total Medical Medicare Allowed Amount |
618063.91 |
Total Medical Medicare Payment Amount |
450364.92 |
Total Medical Medicare Standardized Payment Amount |
434298.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
338 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
533 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
327 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4085 |