National Provider Identifier [NPI]: |
1770521387 |
Last Name Of The Provider |
TRILLO |
First Name Of The Provider |
GERARDO |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4461 COIT RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FRISCO |
Zip Code Of The Provider |
750350521 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
107270 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
5369285 |
Total Medicare Allowed Amount |
1678123.73 |
Total Medicare Payment Amount |
1306944.33 |
Total Medicare Standardized Payment Amount |
1315714.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
98524 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
4137458 |
Total Drug Medicare AllowedAmount |
1311319.75 |
Total Drug Medicare PaymentAmount |
1018917.28 |
Total Drug Medicare Standardized Payment Amount |
1018917.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
8746 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
1231827 |
Total Medical Medicare Allowed Amount |
366803.98 |
Total Medical Medicare Payment Amount |
288027.05 |
Total Medical Medicare Standardized Payment Amount |
296796.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.852 |