National Provider Identifier [NPI]: |
1093795494 |
Last Name Of The Provider |
VELARDE |
First Name Of The Provider |
FRANZ |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1620 N ED CAREY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785508286 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
268 |
Number Of Services |
5760 |
Number Of Medicare Beneficiaries |
3188 |
Total Submitted Charge Amount |
1165061.43 |
Total Medicare Allowed Amount |
255113.94 |
Total Medicare Payment Amount |
197572.63 |
Total Medicare Standardized Payment Amount |
206023.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
268 |
Number Of Medical Services |
5760 |
Number Of Medicare Beneficiaries With Medical Services |
3188 |
Total Medical Submitted Charge Amount |
1165061.43 |
Total Medical Medicare Allowed Amount |
255113.94 |
Total Medical Medicare Payment Amount |
197572.63 |
Total Medical Medicare Standardized Payment Amount |
206023.85 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
657 |
Number Of Beneficiaries Age 65 to 74 |
1032 |
Number Of Beneficiaries Age 75 to 84 |
954 |
Number Of Beneficiaries Age Greater 84 |
545 |
Number Of Female Beneficiaries |
1892 |
Number Of Male Beneficiaries |
1296 |
Number Of Non Hispanic White Beneficiaries |
836 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
2321 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2007 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.6177 |