National Provider Identifier [NPI]: |
1447239496 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
EFRAIN |
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 |
3661 S MIAMI AVE |
Street Address 2 Of The Provider |
SUITE 702 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331334236 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2222 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
651110 |
Total Medicare Allowed Amount |
243694.87 |
Total Medicare Payment Amount |
189456.63 |
Total Medicare Standardized Payment Amount |
175244.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1970 |
Total Drug Medicare AllowedAmount |
961.16 |
Total Drug Medicare PaymentAmount |
915.37 |
Total Drug Medicare Standardized Payment Amount |
915.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2162 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
649140 |
Total Medical Medicare Allowed Amount |
242733.71 |
Total Medical Medicare Payment Amount |
188541.26 |
Total Medical Medicare Standardized Payment Amount |
174328.67 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
95 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
338 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
367 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
63 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.2075 |