National Provider Identifier [NPI]: |
1730179409 |
Last Name Of The Provider |
PARADA |
First Name Of The Provider |
VICTORIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 PEASE ST |
Street Address 2 Of The Provider |
SUITE 1-J |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785508348 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1989 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
136103 |
Total Medicare Allowed Amount |
53615.82 |
Total Medicare Payment Amount |
40596.92 |
Total Medicare Standardized Payment Amount |
41845.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1516 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
16685 |
Total Drug Medicare AllowedAmount |
8293.57 |
Total Drug Medicare PaymentAmount |
6493.64 |
Total Drug Medicare Standardized Payment Amount |
6493.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
473 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
119418 |
Total Medical Medicare Allowed Amount |
45322.25 |
Total Medical Medicare Payment Amount |
34103.28 |
Total Medical Medicare Standardized Payment Amount |
35351.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
57 |
Average HCC Risk Score Of Beneficiaries |
2.0652 |