National Provider Identifier [NPI]: |
1336224393 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
ROBERTO |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 WEST 24TH STREET |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
YUMA |
Zip Code Of The Provider |
85364 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
7728 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
1079617 |
Total Medicare Allowed Amount |
522015.83 |
Total Medicare Payment Amount |
382428.96 |
Total Medicare Standardized Payment Amount |
385200.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
387 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
31305 |
Total Drug Medicare AllowedAmount |
3258.95 |
Total Drug Medicare PaymentAmount |
3117.48 |
Total Drug Medicare Standardized Payment Amount |
3117.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
7341 |
Number Of Medicare Beneficiaries With Medical Services |
1035 |
Total Medical Submitted Charge Amount |
1048312 |
Total Medical Medicare Allowed Amount |
518756.88 |
Total Medical Medicare Payment Amount |
379311.48 |
Total Medical Medicare Standardized Payment Amount |
382083.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
690 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
314 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5559 |