National Provider Identifier [NPI]: |
1770577439 |
Last Name Of The Provider |
BEATO |
First Name Of The Provider |
MILTON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1521 S STAPLES ST |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784043150 |
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 |
74 |
Number Of Services |
4671 |
Number Of Medicare Beneficiaries |
792 |
Total Submitted Charge Amount |
1050670.14 |
Total Medicare Allowed Amount |
361774.64 |
Total Medicare Payment Amount |
273826.94 |
Total Medicare Standardized Payment Amount |
284946.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
641 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
13024 |
Total Drug Medicare AllowedAmount |
3076.63 |
Total Drug Medicare PaymentAmount |
2412.03 |
Total Drug Medicare Standardized Payment Amount |
2412.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4030 |
Number Of Medicare Beneficiaries With Medical Services |
792 |
Total Medical Submitted Charge Amount |
1037646.14 |
Total Medical Medicare Allowed Amount |
358698.01 |
Total Medical Medicare Payment Amount |
271414.91 |
Total Medical Medicare Standardized Payment Amount |
282534.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
313 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
448 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
478 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
58 |
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 |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0757 |