National Provider Identifier [NPI]: |
1184760662 |
Last Name Of The Provider |
VARGAS |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 RESERVOIR RD NW # 5PHC |
Street Address 2 Of The Provider |
|
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200072113 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2747 |
Number Of Medicare Beneficiaries |
1515 |
Total Submitted Charge Amount |
189079 |
Total Medicare Allowed Amount |
92869.6 |
Total Medicare Payment Amount |
71207.86 |
Total Medicare Standardized Payment Amount |
65529 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2747 |
Number Of Medicare Beneficiaries With Medical Services |
1515 |
Total Medical Submitted Charge Amount |
189079 |
Total Medical Medicare Allowed Amount |
92869.6 |
Total Medical Medicare Payment Amount |
71207.86 |
Total Medical Medicare Standardized Payment Amount |
65529 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
387 |
Number Of Beneficiaries Age 65 to 74 |
546 |
Number Of Beneficiaries Age 75 to 84 |
409 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
714 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1019 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.6216 |