National Provider Identifier [NPI]: |
1164418711 |
Last Name Of The Provider |
GONZALEZ |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E RIDGE RD |
Street Address 2 Of The Provider |
SUITE #A |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031345 |
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 |
78 |
Number Of Services |
6415 |
Number Of Medicare Beneficiaries |
2217 |
Total Submitted Charge Amount |
1752063.44 |
Total Medicare Allowed Amount |
498029.13 |
Total Medicare Payment Amount |
377146.58 |
Total Medicare Standardized Payment Amount |
395322.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
288 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
15517.44 |
Total Drug Medicare AllowedAmount |
15256.81 |
Total Drug Medicare PaymentAmount |
11841.74 |
Total Drug Medicare Standardized Payment Amount |
11841.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
6127 |
Number Of Medicare Beneficiaries With Medical Services |
2217 |
Total Medical Submitted Charge Amount |
1736546 |
Total Medical Medicare Allowed Amount |
482772.32 |
Total Medical Medicare Payment Amount |
365304.84 |
Total Medical Medicare Standardized Payment Amount |
383480.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
315 |
Number Of Beneficiaries Age 65 to 74 |
719 |
Number Of Beneficiaries Age 75 to 84 |
779 |
Number Of Beneficiaries Age Greater 84 |
404 |
Number Of Female Beneficiaries |
1192 |
Number Of Male Beneficiaries |
1025 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1586 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
962 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1255 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
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 |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4848 |