National Provider Identifier [NPI]: |
1629269774 |
Last Name Of The Provider |
SOCOTEANU |
First Name Of The Provider |
MATEI |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 N 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LONGVIEW |
Zip Code Of The Provider |
756014717 |
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 |
156 |
Number Of Services |
118732 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
7494795 |
Total Medicare Allowed Amount |
2057470.72 |
Total Medicare Payment Amount |
1599502.01 |
Total Medicare Standardized Payment Amount |
1623071.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
105418 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
5507642 |
Total Drug Medicare AllowedAmount |
1528266.26 |
Total Drug Medicare PaymentAmount |
1182372.24 |
Total Drug Medicare Standardized Payment Amount |
1182372.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
13314 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
1987153 |
Total Medical Medicare Allowed Amount |
529204.46 |
Total Medical Medicare Payment Amount |
417129.77 |
Total Medical Medicare Standardized Payment Amount |
440699.5 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
498 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8365 |