National Provider Identifier [NPI]: |
1346323839 |
Last Name Of The Provider |
TOLEDO |
First Name Of The Provider |
YERALDINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7801 LAKEVIEW PKWY |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
ROWLETT |
Zip Code Of The Provider |
750884247 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2638 |
Number Of Medicare Beneficiaries |
960 |
Total Submitted Charge Amount |
327494.02 |
Total Medicare Allowed Amount |
182348.82 |
Total Medicare Payment Amount |
138860.27 |
Total Medicare Standardized Payment Amount |
142737.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
190 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
16421 |
Total Drug Medicare AllowedAmount |
9964.87 |
Total Drug Medicare PaymentAmount |
7545.77 |
Total Drug Medicare Standardized Payment Amount |
7545.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2448 |
Number Of Medicare Beneficiaries With Medical Services |
960 |
Total Medical Submitted Charge Amount |
311073.02 |
Total Medical Medicare Allowed Amount |
172383.95 |
Total Medical Medicare Payment Amount |
131314.5 |
Total Medical Medicare Standardized Payment Amount |
135191.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
796 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.9114 |