National Provider Identifier [NPI]: |
1679528244 |
Last Name Of The Provider |
ABREU |
First Name Of The Provider |
RUBEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4316 N MCCOLL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785042477 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6340 |
Number Of Medicare Beneficiaries |
1684 |
Total Submitted Charge Amount |
1617573.96 |
Total Medicare Allowed Amount |
496093.54 |
Total Medicare Payment Amount |
374272.63 |
Total Medicare Standardized Payment Amount |
393224.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
4956.96 |
Total Drug Medicare AllowedAmount |
4875.87 |
Total Drug Medicare PaymentAmount |
3667.53 |
Total Drug Medicare Standardized Payment Amount |
3667.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6248 |
Number Of Medicare Beneficiaries With Medical Services |
1684 |
Total Medical Submitted Charge Amount |
1612617 |
Total Medical Medicare Allowed Amount |
491217.67 |
Total Medical Medicare Payment Amount |
370605.1 |
Total Medical Medicare Standardized Payment Amount |
389556.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
899 |
Number Of Male Beneficiaries |
785 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1273 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1007 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
64 |
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 |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3926 |