National Provider Identifier [NPI]: |
1821052499 |
Last Name Of The Provider |
GARRIGOS |
First Name Of The Provider |
SOCRATES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5111 S MCCOLL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDINBURG |
Zip Code Of The Provider |
785398278 |
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 |
135 |
Number Of Services |
11582 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
1241126.01 |
Total Medicare Allowed Amount |
490958.74 |
Total Medicare Payment Amount |
374603.87 |
Total Medicare Standardized Payment Amount |
401212.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1208 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
8255.06 |
Total Drug Medicare AllowedAmount |
2237.47 |
Total Drug Medicare PaymentAmount |
1993.26 |
Total Drug Medicare Standardized Payment Amount |
1993.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
10374 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
1232870.95 |
Total Medical Medicare Allowed Amount |
488721.27 |
Total Medical Medicare Payment Amount |
372610.61 |
Total Medical Medicare Standardized Payment Amount |
399218.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
403 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5207 |