National Provider Identifier [NPI]: |
1487710091 |
Last Name Of The Provider |
AGUADO |
First Name Of The Provider |
ALMA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 DIVISION AVE |
Street Address 2 Of The Provider |
SUITE G |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782141350 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4218 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
396100.52 |
Total Medicare Allowed Amount |
206958.56 |
Total Medicare Payment Amount |
158812.76 |
Total Medicare Standardized Payment Amount |
160856.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
146 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
2737.52 |
Total Drug Medicare AllowedAmount |
1655.62 |
Total Drug Medicare PaymentAmount |
1601.23 |
Total Drug Medicare Standardized Payment Amount |
1601.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4072 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
393363 |
Total Medical Medicare Allowed Amount |
205302.94 |
Total Medical Medicare Payment Amount |
157211.53 |
Total Medical Medicare Standardized Payment Amount |
159254.78 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
60 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8673 |