National Provider Identifier [NPI]: |
1194794438 |
Last Name Of The Provider |
ALONSO |
First Name Of The Provider |
RAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7100 W 20TH AVE |
Street Address 2 Of The Provider |
SUITE 515 |
City Of The Provider |
HIALEAH |
Zip Code Of The Provider |
330161897 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3037 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
836680.08 |
Total Medicare Allowed Amount |
304528.86 |
Total Medicare Payment Amount |
222271.63 |
Total Medicare Standardized Payment Amount |
206987.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
18.36 |
Total Drug Medicare AllowedAmount |
8.98 |
Total Drug Medicare PaymentAmount |
7.09 |
Total Drug Medicare Standardized Payment Amount |
7.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3026 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
836661.72 |
Total Medical Medicare Allowed Amount |
304519.88 |
Total Medical Medicare Payment Amount |
222264.54 |
Total Medical Medicare Standardized Payment Amount |
206980.26 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
80 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
933 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
890 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3196 |