| National Provider Identifier [NPI]: | 1902800402 |
| Last Name Of The Provider | ABREU-LAWRENCE |
| First Name Of The Provider | CHARITY |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 910 S BRYAN RD |
| Street Address 2 Of The Provider | STE 105 |
| City Of The Provider | MISSION |
| Zip Code Of The Provider | 785726615 |
| 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 | 80 |
| Number Of Services | 8064 |
| Number Of Medicare Beneficiaries | 768 |
| Total Submitted Charge Amount | 616743 |
| Total Medicare Allowed Amount | 450281.86 |
| Total Medicare Payment Amount | 340077.49 |
| Total Medicare Standardized Payment Amount | 358806.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 1334 |
| Number Of Medicare Beneficiaries With Drug Services | 440 |
| Total Drug Submitted ChargeAmount | 58695 |
| Total Drug Medicare AllowedAmount | 9480.82 |
| Total Drug Medicare PaymentAmount | 9142 |
| Total Drug Medicare Standardized Payment Amount | 9142 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 6730 |
| Number Of Medicare Beneficiaries With Medical Services | 768 |
| Total Medical Submitted Charge Amount | 558048 |
| Total Medical Medicare Allowed Amount | 440801.04 |
| Total Medical Medicare Payment Amount | 330935.49 |
| Total Medical Medicare Standardized Payment Amount | 349664.03 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 65 |
| Number Of Beneficiaries Age 65 to 74 | 274 |
| Number Of Beneficiaries Age 75 to 84 | 281 |
| Number Of Beneficiaries Age Greater 84 | 148 |
| Number Of Female Beneficiaries | 526 |
| Number Of Male Beneficiaries | 242 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 438 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 338 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 61 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.4965 |