National Provider Identifier [NPI]: |
1215990437 |
Last Name Of The Provider |
PAZOS |
First Name Of The Provider |
VICTOR |
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 |
7100 W 20TH AVE |
Street Address 2 Of The Provider |
SUITE G166 |
City Of The Provider |
HIALEAH |
Zip Code Of The Provider |
330161897 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4459 |
Number Of Medicare Beneficiaries |
1094 |
Total Submitted Charge Amount |
1294358 |
Total Medicare Allowed Amount |
646846.74 |
Total Medicare Payment Amount |
499048.4 |
Total Medicare Standardized Payment Amount |
462910.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1550 |
Total Drug Medicare AllowedAmount |
60.28 |
Total Drug Medicare PaymentAmount |
47.36 |
Total Drug Medicare Standardized Payment Amount |
47.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4428 |
Number Of Medicare Beneficiaries With Medical Services |
1094 |
Total Medical Submitted Charge Amount |
1292808 |
Total Medical Medicare Allowed Amount |
646786.46 |
Total Medical Medicare Payment Amount |
499001.04 |
Total Medical Medicare Standardized Payment Amount |
462862.7 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
56 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1007 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
988 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2776 |