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 |