National Provider Identifier [NPI]: |
1841270865 |
Last Name Of The Provider |
OCHOA |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
632 N ED CAREY DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785507508 |
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 |
66 |
Number Of Services |
7036 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
776801 |
Total Medicare Allowed Amount |
458172.49 |
Total Medicare Payment Amount |
344620.97 |
Total Medicare Standardized Payment Amount |
359006.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
711 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
9855 |
Total Drug Medicare AllowedAmount |
2379.75 |
Total Drug Medicare PaymentAmount |
2256.01 |
Total Drug Medicare Standardized Payment Amount |
2256.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
6325 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
766946 |
Total Medical Medicare Allowed Amount |
455792.74 |
Total Medical Medicare Payment Amount |
342364.96 |
Total Medical Medicare Standardized Payment Amount |
356750.82 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
370 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7895 |