National Provider Identifier [NPI]: |
1689634883 |
Last Name Of The Provider |
SILVA |
First Name Of The Provider |
JAIME |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 UPTOWN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROWNSVILLE |
Zip Code Of The Provider |
785207559 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
11582 |
Number Of Medicare Beneficiaries |
1683 |
Total Submitted Charge Amount |
3220143 |
Total Medicare Allowed Amount |
1228670.52 |
Total Medicare Payment Amount |
917958.33 |
Total Medicare Standardized Payment Amount |
971184.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
897 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
36403 |
Total Drug Medicare AllowedAmount |
929.14 |
Total Drug Medicare PaymentAmount |
769.35 |
Total Drug Medicare Standardized Payment Amount |
769.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
10685 |
Number Of Medicare Beneficiaries With Medical Services |
1682 |
Total Medical Submitted Charge Amount |
3183740 |
Total Medical Medicare Allowed Amount |
1227741.38 |
Total Medical Medicare Payment Amount |
917188.98 |
Total Medical Medicare Standardized Payment Amount |
970415.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
580 |
Number Of Beneficiaries Age 75 to 84 |
625 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1518 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1263 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1557 |