National Provider Identifier [NPI]: |
1285730499 |
Last Name Of The Provider |
FLOREZ |
First Name Of The Provider |
MARCO |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
306 WEST PARK |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHARR |
Zip Code Of The Provider |
78577 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
9849 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
543686 |
Total Medicare Allowed Amount |
293132.7 |
Total Medicare Payment Amount |
221346.95 |
Total Medicare Standardized Payment Amount |
227644.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
385 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
7850 |
Total Drug Medicare AllowedAmount |
388.89 |
Total Drug Medicare PaymentAmount |
274.13 |
Total Drug Medicare Standardized Payment Amount |
274.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
9464 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
535836 |
Total Medical Medicare Allowed Amount |
292743.81 |
Total Medical Medicare Payment Amount |
221072.82 |
Total Medical Medicare Standardized Payment Amount |
227370.21 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
509 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
79 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
448 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5941 |