Medicare Facts for Dr. Omar Hernandez, MD


National Provider Identifier [NPI]: 1912169210
Last Name Of The Provider HERNANDEZ
First Name Of The Provider OMAR
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 4927 LAKE RIDGE PKWY
Street Address 2 Of The Provider SUITE 100
City Of The Provider GRAND PRAIRIE
Zip Code Of The Provider 750523087
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 1342
Number Of Medicare Beneficiaries 217
Total Submitted Charge Amount 94585.87
Total Medicare Allowed Amount 53589.79
Total Medicare Payment Amount 36753.85
Total Medicare Standardized Payment Amount 38051.59
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 380
Number Of Medicare Beneficiaries With Drug Services 85
Total Drug Submitted ChargeAmount 12328.9
Total Drug Medicare AllowedAmount 5555.34
Total Drug Medicare PaymentAmount 5010
Total Drug Medicare Standardized Payment Amount 5010
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 962
Number Of Medicare Beneficiaries With Medical Services 217
Total Medical Submitted Charge Amount 82256.97
Total Medical Medicare Allowed Amount 48034.45
Total Medical Medicare Payment Amount 31743.85
Total Medical Medicare Standardized Payment Amount 33041.59
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 37
Number Of Beneficiaries Age 65 to 74 99
Number Of Beneficiaries Age 75 to 84 58
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 131
Number Of Male Beneficiaries 86
Number Of Non Hispanic White Beneficiaries 98
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 72
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 158
Number Of Beneficiaries With Medicare Medicaid Entitlement 59
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 5
Percent Of With Cancer 6
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 19
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4214

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