National Provider Identifier [NPI]: |
1295774594 |
Last Name Of The Provider |
CIGARROA |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 E SAUNDERS ST |
Street Address 2 Of The Provider |
TOWER B FIFTH FLOOR |
City Of The Provider |
LAREDO |
Zip Code Of The Provider |
780415443 |
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 |
205 |
Number Of Services |
244715 |
Number Of Medicare Beneficiaries |
4070 |
Total Submitted Charge Amount |
9160475.87 |
Total Medicare Allowed Amount |
4140229.11 |
Total Medicare Payment Amount |
3146816.51 |
Total Medicare Standardized Payment Amount |
3355914.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
185060 |
Number Of Medicare Beneficiaries With Drug Services |
1971 |
Total Drug Submitted ChargeAmount |
375662.35 |
Total Drug Medicare AllowedAmount |
60692.58 |
Total Drug Medicare PaymentAmount |
48064.65 |
Total Drug Medicare Standardized Payment Amount |
48064.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
195 |
Number Of Medical Services |
59655 |
Number Of Medicare Beneficiaries With Medical Services |
4070 |
Total Medical Submitted Charge Amount |
8784813.52 |
Total Medical Medicare Allowed Amount |
4079536.53 |
Total Medical Medicare Payment Amount |
3098751.86 |
Total Medical Medicare Standardized Payment Amount |
3307849.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
539 |
Number Of Beneficiaries Age 65 to 74 |
1521 |
Number Of Beneficiaries Age 75 to 84 |
1360 |
Number Of Beneficiaries Age Greater 84 |
650 |
Number Of Female Beneficiaries |
2236 |
Number Of Male Beneficiaries |
1834 |
Number Of Non Hispanic White Beneficiaries |
346 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
3688 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2445 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8659 |