Medicare Facts for Dr. Donato J. Arguelles, MD


National Provider Identifier [NPI]: 1437196854
Last Name Of The Provider ARGUELLES
First Name Of The Provider DONATO
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2733 PONCE DE LEON BLVD
Street Address 2 Of The Provider
City Of The Provider CORAL GABLES
Zip Code Of The Provider 331346004
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 3721
Number Of Medicare Beneficiaries 398
Total Submitted Charge Amount 589659.01
Total Medicare Allowed Amount 275203.88
Total Medicare Payment Amount 206492.74
Total Medicare Standardized Payment Amount 197765.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 575
Number Of Medicare Beneficiaries With Drug Services 158
Total Drug Submitted ChargeAmount 7280
Total Drug Medicare AllowedAmount 1831.23
Total Drug Medicare PaymentAmount 1715.66
Total Drug Medicare Standardized Payment Amount 1715.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 3146
Number Of Medicare Beneficiaries With Medical Services 398
Total Medical Submitted Charge Amount 582379.01
Total Medical Medicare Allowed Amount 273372.65
Total Medical Medicare Payment Amount 204777.08
Total Medical Medicare Standardized Payment Amount 196049.47
Average Age Of Beneficiaries 79
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 146
Number Of Beneficiaries Age Greater 84 127
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 181
Number Of Non Hispanic White Beneficiaries 93
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 291
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 312
Number Of Beneficiaries With Medicare Medicaid Entitlement 86
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 9
Percent Of With Cancer 17
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 22
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.6841

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