Medicare Facts for Dr. Valerie D. Espinosa, MD


National Provider Identifier [NPI]: 1649245697
Last Name Of The Provider ESPINOSA
First Name Of The Provider VALERIE
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6500 NORTH MO PAC EXPRESSWAY
Street Address 2 Of The Provider BUILDING 3, SUITE 200
City Of The Provider AUSTIN
Zip Code Of The Provider 78731
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 1781
Number Of Medicare Beneficiaries 827
Total Submitted Charge Amount 425623.4
Total Medicare Allowed Amount 155618.14
Total Medicare Payment Amount 112628.07
Total Medicare Standardized Payment Amount 115690.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 135
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 3864.4
Total Drug Medicare AllowedAmount 1561.9
Total Drug Medicare PaymentAmount 1186.31
Total Drug Medicare Standardized Payment Amount 1186.31
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 11
Number Of Medical Services 1646
Number Of Medicare Beneficiaries With Medical Services 827
Total Medical Submitted Charge Amount 421759
Total Medical Medicare Allowed Amount 154056.24
Total Medical Medicare Payment Amount 111441.76
Total Medical Medicare Standardized Payment Amount 114504.67
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 67
Number Of Beneficiaries Age 65 to 74 477
Number Of Beneficiaries Age 75 to 84 222
Number Of Beneficiaries Age Greater 84 61
Number Of Female Beneficiaries 629
Number Of Male Beneficiaries 198
Number Of Non Hispanic White Beneficiaries 674
Number Of Black or African American Beneficiaries 46
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 88
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 803
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 15
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 29
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0947

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