National Provider Identifier [NPI]: |
1821074436 |
Last Name Of The Provider |
RIOS |
First Name Of The Provider |
ALVARO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 MISTLETOE BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044014 |
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 |
108 |
Number Of Services |
6699 |
Number Of Medicare Beneficiaries |
1262 |
Total Submitted Charge Amount |
1650407.11 |
Total Medicare Allowed Amount |
567526.78 |
Total Medicare Payment Amount |
425213.15 |
Total Medicare Standardized Payment Amount |
437422.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1626 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
60649.91 |
Total Drug Medicare AllowedAmount |
20136.84 |
Total Drug Medicare PaymentAmount |
15663.33 |
Total Drug Medicare Standardized Payment Amount |
15663.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
5073 |
Number Of Medicare Beneficiaries With Medical Services |
1262 |
Total Medical Submitted Charge Amount |
1589757.2 |
Total Medical Medicare Allowed Amount |
547389.94 |
Total Medical Medicare Payment Amount |
409549.82 |
Total Medical Medicare Standardized Payment Amount |
421758.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
661 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1002 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2063 |