Medicare Facts for Dr. Jose M. Figueroa, MD


National Provider Identifier [NPI]: 1265413819
Last Name Of The Provider FIGUEROA
First Name Of The Provider JOSE
Middle Initial Of The Provider M
Credentials Of The Provider M. D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4444 AUSTELL ROAD
Street Address 2 Of The Provider SUITE 100
City Of The Provider AUSTELL
Zip Code Of The Provider 30106
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 5359
Number Of Medicare Beneficiaries 354
Total Submitted Charge Amount 364645
Total Medicare Allowed Amount 208927.07
Total Medicare Payment Amount 149755.93
Total Medicare Standardized Payment Amount 152446.97
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 519
Number Of Medicare Beneficiaries With Drug Services 195
Total Drug Submitted ChargeAmount 15125
Total Drug Medicare AllowedAmount 2549.4
Total Drug Medicare PaymentAmount 2245.85
Total Drug Medicare Standardized Payment Amount 2245.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 4840
Number Of Medicare Beneficiaries With Medical Services 354
Total Medical Submitted Charge Amount 349520
Total Medical Medicare Allowed Amount 206377.67
Total Medical Medicare Payment Amount 147510.08
Total Medical Medicare Standardized Payment Amount 150201.12
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 136
Number Of Beneficiaries Age 75 to 84 125
Number Of Beneficiaries Age Greater 84 67
Number Of Female Beneficiaries 201
Number Of Male Beneficiaries 153
Number Of Non Hispanic White Beneficiaries 245
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 64
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 289
Number Of Beneficiaries With Medicare Medicaid Entitlement 65
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 7
Percent Of With Cancer 13
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 17
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.2728

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