National Provider Identifier [NPI]: |
1457355414 |
Last Name Of The Provider |
MENDEZ |
First Name Of The Provider |
SALVADOR |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1421 N 2ND ST |
Street Address 2 Of The Provider |
STE A COL ROWE BLVD |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785012303 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
7345 |
Number Of Medicare Beneficiaries |
964 |
Total Submitted Charge Amount |
929908.44 |
Total Medicare Allowed Amount |
370700.94 |
Total Medicare Payment Amount |
272965.38 |
Total Medicare Standardized Payment Amount |
288567.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2893 |
Number Of Medicare Beneficiaries With Drug Services |
401 |
Total Drug Submitted ChargeAmount |
67265 |
Total Drug Medicare AllowedAmount |
32058.21 |
Total Drug Medicare PaymentAmount |
24452.45 |
Total Drug Medicare Standardized Payment Amount |
24452.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
4452 |
Number Of Medicare Beneficiaries With Medical Services |
964 |
Total Medical Submitted Charge Amount |
862643.44 |
Total Medical Medicare Allowed Amount |
338642.73 |
Total Medical Medicare Payment Amount |
248512.93 |
Total Medical Medicare Standardized Payment Amount |
264115.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
403 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
701 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
516 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3958 |