National Provider Identifier [NPI]: |
1306869888 |
Last Name Of The Provider |
MEGO |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 E SAVANNAH AVE |
Street Address 2 Of The Provider |
STE 7 |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031727 |
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 |
89 |
Number Of Services |
8238 |
Number Of Medicare Beneficiaries |
1593 |
Total Submitted Charge Amount |
2177278 |
Total Medicare Allowed Amount |
760088.58 |
Total Medicare Payment Amount |
578781.84 |
Total Medicare Standardized Payment Amount |
622265.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1511 |
Number Of Medicare Beneficiaries With Drug Services |
308 |
Total Drug Submitted ChargeAmount |
34753 |
Total Drug Medicare AllowedAmount |
1231.14 |
Total Drug Medicare PaymentAmount |
928.73 |
Total Drug Medicare Standardized Payment Amount |
928.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6727 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
2142525 |
Total Medical Medicare Allowed Amount |
758857.44 |
Total Medical Medicare Payment Amount |
577853.11 |
Total Medical Medicare Standardized Payment Amount |
621336.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
577 |
Number Of Beneficiaries Age 75 to 84 |
592 |
Number Of Beneficiaries Age Greater 84 |
232 |
Number Of Female Beneficiaries |
864 |
Number Of Male Beneficiaries |
729 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1323 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1098 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2271 |