National Provider Identifier [NPI]: |
1730184235 |
Last Name Of The Provider |
CANO |
First Name Of The Provider |
ADRIANA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1341 W. MOCKINGBIRD LANE |
Street Address 2 Of The Provider |
SUITE 240E |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752474971 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
2090 |
Number Of Medicare Beneficiaries |
233 |
Total Submitted Charge Amount |
482451.65 |
Total Medicare Allowed Amount |
297902.44 |
Total Medicare Payment Amount |
227596.17 |
Total Medicare Standardized Payment Amount |
227455.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
505 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
21780 |
Total Drug Medicare AllowedAmount |
5770.24 |
Total Drug Medicare PaymentAmount |
4595.48 |
Total Drug Medicare Standardized Payment Amount |
4595.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1585 |
Number Of Medicare Beneficiaries With Medical Services |
233 |
Total Medical Submitted Charge Amount |
460671.65 |
Total Medical Medicare Allowed Amount |
292132.2 |
Total Medical Medicare Payment Amount |
223000.69 |
Total Medical Medicare Standardized Payment Amount |
222859.7 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
54 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
5.499 |