National Provider Identifier [NPI]: |
1093809857 |
Last Name Of The Provider |
MAYORQUIN |
First Name Of The Provider |
FRANCISCO |
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 |
2201 MURPHY AVE |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031955 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1701.5 |
Number Of Medicare Beneficiaries |
192 |
Total Submitted Charge Amount |
193170 |
Total Medicare Allowed Amount |
111803.55 |
Total Medicare Payment Amount |
78933.96 |
Total Medicare Standardized Payment Amount |
89837.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
342.5 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
7105 |
Total Drug Medicare AllowedAmount |
2861.93 |
Total Drug Medicare PaymentAmount |
2321.1 |
Total Drug Medicare Standardized Payment Amount |
2321.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1359 |
Number Of Medicare Beneficiaries With Medical Services |
192 |
Total Medical Submitted Charge Amount |
186065 |
Total Medical Medicare Allowed Amount |
108941.62 |
Total Medical Medicare Payment Amount |
76612.86 |
Total Medical Medicare Standardized Payment Amount |
87516.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
161 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8093 |