National Provider Identifier [NPI]: |
1093770315 |
Last Name Of The Provider |
SALINAS |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 W 2ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERCEDES |
Zip Code Of The Provider |
785702607 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
8104 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
555085 |
Total Medicare Allowed Amount |
266195.4 |
Total Medicare Payment Amount |
185873.28 |
Total Medicare Standardized Payment Amount |
195964.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
816 |
Number Of Medicare Beneficiaries With Drug Services |
322 |
Total Drug Submitted ChargeAmount |
30930 |
Total Drug Medicare AllowedAmount |
5188.08 |
Total Drug Medicare PaymentAmount |
4741.11 |
Total Drug Medicare Standardized Payment Amount |
4741.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
7288 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
524155 |
Total Medical Medicare Allowed Amount |
261007.32 |
Total Medical Medicare Payment Amount |
181132.17 |
Total Medical Medicare Standardized Payment Amount |
191223.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
442 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2 |