National Provider Identifier [NPI]: |
1760403620 |
Last Name Of The Provider |
BERIO-MUNIZ |
First Name Of The Provider |
RAFAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
613 ELIZABETH ST |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042220 |
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 |
54 |
Number Of Services |
3391 |
Number Of Medicare Beneficiaries |
915 |
Total Submitted Charge Amount |
674232 |
Total Medicare Allowed Amount |
246800.44 |
Total Medicare Payment Amount |
178035.19 |
Total Medicare Standardized Payment Amount |
193657.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
7656 |
Total Drug Medicare AllowedAmount |
6990.47 |
Total Drug Medicare PaymentAmount |
5014.94 |
Total Drug Medicare Standardized Payment Amount |
5014.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3259 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
666576 |
Total Medical Medicare Allowed Amount |
239809.97 |
Total Medical Medicare Payment Amount |
173020.25 |
Total Medical Medicare Standardized Payment Amount |
188642.72 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
461 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2738 |