National Provider Identifier [NPI]: |
1336194851 |
Last Name Of The Provider |
LEMA |
First Name Of The Provider |
RODRIGO |
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 |
1200 E SAVANNAH AVE STE 12 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031728 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
7653 |
Number Of Medicare Beneficiaries |
1020 |
Total Submitted Charge Amount |
1377900 |
Total Medicare Allowed Amount |
647434.6 |
Total Medicare Payment Amount |
501445.39 |
Total Medicare Standardized Payment Amount |
526607.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
10866 |
Total Drug Medicare AllowedAmount |
2775.59 |
Total Drug Medicare PaymentAmount |
2714.96 |
Total Drug Medicare Standardized Payment Amount |
2714.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
7351 |
Number Of Medicare Beneficiaries With Medical Services |
1020 |
Total Medical Submitted Charge Amount |
1367034 |
Total Medical Medicare Allowed Amount |
644659.01 |
Total Medical Medicare Payment Amount |
498730.43 |
Total Medical Medicare Standardized Payment Amount |
523892.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
559 |
Number Of Male Beneficiaries |
461 |
Number Of Non Hispanic White Beneficiaries |
260 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
748 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
645 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
74 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
3.1076 |