National Provider Identifier [NPI]: |
1265469803 |
Last Name Of The Provider |
ABREU |
First Name Of The Provider |
RICARDO |
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 |
1604 E 8TH ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
WESLACO |
Zip Code Of The Provider |
785965587 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
8748 |
Number Of Medicare Beneficiaries |
1494 |
Total Submitted Charge Amount |
1182201 |
Total Medicare Allowed Amount |
545832.69 |
Total Medicare Payment Amount |
422855.02 |
Total Medicare Standardized Payment Amount |
442952.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4208 |
Number Of Medicare Beneficiaries With Drug Services |
332 |
Total Drug Submitted ChargeAmount |
33350 |
Total Drug Medicare AllowedAmount |
11383.27 |
Total Drug Medicare PaymentAmount |
10645.34 |
Total Drug Medicare Standardized Payment Amount |
10645.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
4540 |
Number Of Medicare Beneficiaries With Medical Services |
1445 |
Total Medical Submitted Charge Amount |
1148851 |
Total Medical Medicare Allowed Amount |
534449.42 |
Total Medical Medicare Payment Amount |
412209.68 |
Total Medical Medicare Standardized Payment Amount |
432307.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
260 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
474 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
761 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
440 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1042 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
591 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
903 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4419 |