Medicare Facts for Dr. Carlos A. Encarnacion, MD


National Provider Identifier [NPI]: 1245273838
Last Name Of The Provider ENCARNACION
First Name Of The Provider CARLOS
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1700 W HIGHWAY 6
Street Address 2 Of The Provider
City Of The Provider WACO
Zip Code Of The Provider 767122452
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 119
Number Of Services 43828
Number Of Medicare Beneficiaries 406
Total Submitted Charge Amount 4077548
Total Medicare Allowed Amount 1279006.24
Total Medicare Payment Amount 997814.26
Total Medicare Standardized Payment Amount 1005436.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 49
Number Of Drug Services 38818
Number Of Medicare Beneficiaries With Drug Services 97
Total Drug Submitted ChargeAmount 3151305
Total Drug Medicare AllowedAmount 1017839.2
Total Drug Medicare PaymentAmount 796906.68
Total Drug Medicare Standardized Payment Amount 796906.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 5010
Number Of Medicare Beneficiaries With Medical Services 406
Total Medical Submitted Charge Amount 926243
Total Medical Medicare Allowed Amount 261167.04
Total Medical Medicare Payment Amount 200907.58
Total Medical Medicare Standardized Payment Amount 208529.43
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 51
Number Of Beneficiaries Age 65 to 74 182
Number Of Beneficiaries Age 75 to 84 143
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 265
Number Of Male Beneficiaries 141
Number Of Non Hispanic White Beneficiaries 324
Number Of Black or African American Beneficiaries 46
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 331
Number Of Beneficiaries With Medicare Medicaid Entitlement 75
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 8
Percent Of With Cancer 58
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 19
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.5851

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