National Provider Identifier [NPI]: |
1760400386 |
Last Name Of The Provider |
PAZ |
First Name Of The Provider |
ALEJANDRO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 E 2ND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ESCONDIDO |
Zip Code Of The Provider |
920254249 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
3018 |
Number Of Medicare Beneficiaries |
813 |
Total Submitted Charge Amount |
402980 |
Total Medicare Allowed Amount |
200399.74 |
Total Medicare Payment Amount |
154083.57 |
Total Medicare Standardized Payment Amount |
148171.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
592 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
22724 |
Total Drug Medicare AllowedAmount |
8593.18 |
Total Drug Medicare PaymentAmount |
8205.98 |
Total Drug Medicare Standardized Payment Amount |
8205.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
2426 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
380256 |
Total Medical Medicare Allowed Amount |
191806.56 |
Total Medical Medicare Payment Amount |
145877.59 |
Total Medical Medicare Standardized Payment Amount |
139965.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
568 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
165 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
599 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.114 |