National Provider Identifier [NPI]: |
1619924602 |
Last Name Of The Provider |
CORDERO-YORDAN |
First Name Of The Provider |
HERBERT |
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 |
2865 SIENA HEIGHTS DR |
Street Address 2 Of The Provider |
SUITE 331 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
890524167 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
3125 |
Number Of Medicare Beneficiaries |
1239 |
Total Submitted Charge Amount |
779606.14 |
Total Medicare Allowed Amount |
306236.07 |
Total Medicare Payment Amount |
232416.25 |
Total Medicare Standardized Payment Amount |
226744.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
44671.56 |
Total Drug Medicare AllowedAmount |
5732.14 |
Total Drug Medicare PaymentAmount |
4493.93 |
Total Drug Medicare Standardized Payment Amount |
4493.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
3016 |
Number Of Medicare Beneficiaries With Medical Services |
1239 |
Total Medical Submitted Charge Amount |
734934.58 |
Total Medical Medicare Allowed Amount |
300503.93 |
Total Medical Medicare Payment Amount |
227922.32 |
Total Medical Medicare Standardized Payment Amount |
222250.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
537 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
970 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
122 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7641 |