National Provider Identifier [NPI]: |
1407877046 |
Last Name Of The Provider |
ARANGO |
First Name Of The Provider |
LUIS |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 S BRYAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSION |
Zip Code Of The Provider |
785726218 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
50826 |
Number Of Medicare Beneficiaries |
1376 |
Total Submitted Charge Amount |
2954616.81 |
Total Medicare Allowed Amount |
1726056.46 |
Total Medicare Payment Amount |
1317353.76 |
Total Medicare Standardized Payment Amount |
1346711.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
11311 |
Number Of Medicare Beneficiaries With Drug Services |
1033 |
Total Drug Submitted ChargeAmount |
146847.79 |
Total Drug Medicare AllowedAmount |
26189.93 |
Total Drug Medicare PaymentAmount |
22066.15 |
Total Drug Medicare Standardized Payment Amount |
22066.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
39515 |
Number Of Medicare Beneficiaries With Medical Services |
1376 |
Total Medical Submitted Charge Amount |
2807769.02 |
Total Medical Medicare Allowed Amount |
1699866.53 |
Total Medical Medicare Payment Amount |
1295287.61 |
Total Medical Medicare Standardized Payment Amount |
1324645.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
432 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
775 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1222 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1057 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2578 |