National Provider Identifier [NPI]: |
1912009150 |
Last Name Of The Provider |
NAVARIJO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6624 FANNIN |
Street Address 2 Of The Provider |
#2480 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302309 |
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 |
53 |
Number Of Services |
3871 |
Number Of Medicare Beneficiaries |
1881 |
Total Submitted Charge Amount |
793021 |
Total Medicare Allowed Amount |
247532.2 |
Total Medicare Payment Amount |
188186.08 |
Total Medicare Standardized Payment Amount |
192025.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
22369 |
Total Drug Medicare AllowedAmount |
2915.69 |
Total Drug Medicare PaymentAmount |
2285.88 |
Total Drug Medicare Standardized Payment Amount |
2285.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3816 |
Number Of Medicare Beneficiaries With Medical Services |
1881 |
Total Medical Submitted Charge Amount |
770652 |
Total Medical Medicare Allowed Amount |
244616.51 |
Total Medical Medicare Payment Amount |
185900.2 |
Total Medical Medicare Standardized Payment Amount |
189739.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
352 |
Number Of Beneficiaries Age 65 to 74 |
671 |
Number Of Beneficiaries Age 75 to 84 |
549 |
Number Of Beneficiaries Age Greater 84 |
309 |
Number Of Female Beneficiaries |
875 |
Number Of Male Beneficiaries |
1006 |
Number Of Non Hispanic White Beneficiaries |
1179 |
Number Of Black or African American Beneficiaries |
414 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
238 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.6419 |