National Provider Identifier [NPI]: |
1982602264 |
Last Name Of The Provider |
ROKA |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D., P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20658 STONE OAK PKWY |
Street Address 2 Of The Provider |
STE. 108 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782587344 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
6602 |
Number Of Medicare Beneficiaries |
760 |
Total Submitted Charge Amount |
952090.99 |
Total Medicare Allowed Amount |
478948.83 |
Total Medicare Payment Amount |
354979.04 |
Total Medicare Standardized Payment Amount |
387672.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
180 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
6434 |
Total Drug Medicare AllowedAmount |
988.25 |
Total Drug Medicare PaymentAmount |
838.45 |
Total Drug Medicare Standardized Payment Amount |
838.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
6422 |
Number Of Medicare Beneficiaries With Medical Services |
760 |
Total Medical Submitted Charge Amount |
945656.99 |
Total Medical Medicare Allowed Amount |
477960.58 |
Total Medical Medicare Payment Amount |
354140.59 |
Total Medical Medicare Standardized Payment Amount |
386833.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
214 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.159 |