National Provider Identifier [NPI]: |
1245393891 |
Last Name Of The Provider |
MORALES |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11910 GREENVILLE AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752433596 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
1325 |
Number Of Medicare Beneficiaries |
347 |
Total Submitted Charge Amount |
121935 |
Total Medicare Allowed Amount |
47591.85 |
Total Medicare Payment Amount |
30283.03 |
Total Medicare Standardized Payment Amount |
36791.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
417 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
4742 |
Total Drug Medicare AllowedAmount |
708.77 |
Total Drug Medicare PaymentAmount |
467.92 |
Total Drug Medicare Standardized Payment Amount |
467.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
908 |
Number Of Medicare Beneficiaries With Medical Services |
347 |
Total Medical Submitted Charge Amount |
117193 |
Total Medical Medicare Allowed Amount |
46883.08 |
Total Medical Medicare Payment Amount |
29815.11 |
Total Medical Medicare Standardized Payment Amount |
36323.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8906 |