National Provider Identifier [NPI]: |
1982701496 |
Last Name Of The Provider |
PALAU |
First Name Of The Provider |
LEONARDO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 MEDICAL PLAZA DR |
Street Address 2 Of The Provider |
SUITE 170 |
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
773803476 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
140581.5 |
Number Of Medicare Beneficiaries |
606 |
Total Submitted Charge Amount |
2228885.28 |
Total Medicare Allowed Amount |
1204701.18 |
Total Medicare Payment Amount |
932989.53 |
Total Medicare Standardized Payment Amount |
977797.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
124812.5 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
524056 |
Total Drug Medicare AllowedAmount |
180802.58 |
Total Drug Medicare PaymentAmount |
141523.7 |
Total Drug Medicare Standardized Payment Amount |
141523.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
15769 |
Number Of Medicare Beneficiaries With Medical Services |
606 |
Total Medical Submitted Charge Amount |
1704829.28 |
Total Medical Medicare Allowed Amount |
1023898.6 |
Total Medical Medicare Payment Amount |
791465.83 |
Total Medical Medicare Standardized Payment Amount |
836273.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
495 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
482 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7547 |