National Provider Identifier [NPI]: |
1205983202 |
Last Name Of The Provider |
HABER |
First Name Of The Provider |
MILTON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6801 MCPHERSON RD |
Street Address 2 Of The Provider |
SUITE # 220 |
City Of The Provider |
LAREDO |
Zip Code Of The Provider |
780416403 |
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 |
42 |
Number Of Services |
10660 |
Number Of Medicare Beneficiaries |
774 |
Total Submitted Charge Amount |
934705 |
Total Medicare Allowed Amount |
618232.71 |
Total Medicare Payment Amount |
457987.77 |
Total Medicare Standardized Payment Amount |
481372.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
359 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
8105 |
Total Drug Medicare AllowedAmount |
3021.47 |
Total Drug Medicare PaymentAmount |
2906.94 |
Total Drug Medicare Standardized Payment Amount |
2906.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
10301 |
Number Of Medicare Beneficiaries With Medical Services |
774 |
Total Medical Submitted Charge Amount |
926600 |
Total Medical Medicare Allowed Amount |
615211.24 |
Total Medical Medicare Payment Amount |
455080.83 |
Total Medical Medicare Standardized Payment Amount |
478465.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
668 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
398 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0462 |