National Provider Identifier [NPI]: |
1881607067 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
ROCIO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 4TH AVE |
Street Address 2 Of The Provider |
SUITE 516 |
City Of The Provider |
CHULA VISTA |
Zip Code Of The Provider |
919104410 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1116 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
210234.48 |
Total Medicare Allowed Amount |
113132.28 |
Total Medicare Payment Amount |
85781.17 |
Total Medicare Standardized Payment Amount |
83349.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
2040 |
Total Drug Medicare AllowedAmount |
1045.79 |
Total Drug Medicare PaymentAmount |
1024.79 |
Total Drug Medicare Standardized Payment Amount |
1024.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1068 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
208194.48 |
Total Medical Medicare Allowed Amount |
112086.49 |
Total Medical Medicare Payment Amount |
84756.38 |
Total Medical Medicare Standardized Payment Amount |
82324.48 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
124 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
231 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
138 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.7826 |