National Provider Identifier [NPI]: |
1114910031 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
HECTOR |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 E NORTH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485348 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
23909 |
Number Of Medicare Beneficiaries |
2577 |
Total Submitted Charge Amount |
2401202 |
Total Medicare Allowed Amount |
1441825.31 |
Total Medicare Payment Amount |
1097749.63 |
Total Medicare Standardized Payment Amount |
1053417.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7644 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
44520 |
Total Drug Medicare AllowedAmount |
25884.01 |
Total Drug Medicare PaymentAmount |
20293 |
Total Drug Medicare Standardized Payment Amount |
20293 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
16265 |
Number Of Medicare Beneficiaries With Medical Services |
2577 |
Total Medical Submitted Charge Amount |
2356682 |
Total Medical Medicare Allowed Amount |
1415941.3 |
Total Medical Medicare Payment Amount |
1077456.63 |
Total Medical Medicare Standardized Payment Amount |
1033124.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
943 |
Number Of Beneficiaries Age 75 to 84 |
1153 |
Number Of Beneficiaries Age Greater 84 |
409 |
Number Of Female Beneficiaries |
1188 |
Number Of Male Beneficiaries |
1389 |
Number Of Non Hispanic White Beneficiaries |
2470 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5091 |