Medicare Facts for Dr. Ricardo M. Valbuena, MD


National Provider Identifier [NPI]: 1427143429
Last Name Of The Provider VALBUENA
First Name Of The Provider RICARDO
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1107 WEST MAIN STREET
Street Address 2 Of The Provider
City Of The Provider WILBURTON
Zip Code Of The Provider 74578
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 58
Number Of Services 2747
Number Of Medicare Beneficiaries 482
Total Submitted Charge Amount 141557
Total Medicare Allowed Amount 119516.24
Total Medicare Payment Amount 76887.68
Total Medicare Standardized Payment Amount 86082.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 578
Number Of Medicare Beneficiaries With Drug Services 149
Total Drug Submitted ChargeAmount 3739
Total Drug Medicare AllowedAmount 1955.88
Total Drug Medicare PaymentAmount 1815.78
Total Drug Medicare Standardized Payment Amount 1815.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 2169
Number Of Medicare Beneficiaries With Medical Services 482
Total Medical Submitted Charge Amount 137818
Total Medical Medicare Allowed Amount 117560.36
Total Medical Medicare Payment Amount 75071.9
Total Medical Medicare Standardized Payment Amount 84266.98
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 91
Number Of Beneficiaries Age 65 to 74 177
Number Of Beneficiaries Age 75 to 84 152
Number Of Beneficiaries Age Greater 84 62
Number Of Female Beneficiaries 266
Number Of Male Beneficiaries 216
Number Of Non Hispanic White Beneficiaries 430
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 37
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 334
Number Of Beneficiaries With Medicare Medicaid Entitlement 148
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 4
Percent Of With Cancer 5
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 21
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2502

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