National Provider Identifier [NPI]: |
1871547596 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
ELVIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2108 S M ST |
Street Address 2 Of The Provider |
SUITE #3 |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031555 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
79291 |
Number Of Medicare Beneficiaries |
1789 |
Total Submitted Charge Amount |
2981761 |
Total Medicare Allowed Amount |
2212629.85 |
Total Medicare Payment Amount |
1698359.39 |
Total Medicare Standardized Payment Amount |
1692143.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
53862 |
Number Of Medicare Beneficiaries With Drug Services |
1309 |
Total Drug Submitted ChargeAmount |
1249991 |
Total Drug Medicare AllowedAmount |
1080678.36 |
Total Drug Medicare PaymentAmount |
836423.28 |
Total Drug Medicare Standardized Payment Amount |
836423.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
25429 |
Number Of Medicare Beneficiaries With Medical Services |
1789 |
Total Medical Submitted Charge Amount |
1731770 |
Total Medical Medicare Allowed Amount |
1131951.49 |
Total Medical Medicare Payment Amount |
861936.11 |
Total Medical Medicare Standardized Payment Amount |
855720.39 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
454 |
Number Of Beneficiaries Age 65 to 74 |
720 |
Number Of Beneficiaries Age 75 to 84 |
485 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
1399 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1516 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1226 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
38 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6336 |