National Provider Identifier [NPI]: |
1548266216 |
Last Name Of The Provider |
WOO-TELLES |
First Name Of The Provider |
ARGELIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1030 N ZARAGOZA RD |
Street Address 2 Of The Provider |
STE V |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799071862 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
842 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
321633.01 |
Total Medicare Allowed Amount |
71427.19 |
Total Medicare Payment Amount |
51835.23 |
Total Medicare Standardized Payment Amount |
53645.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
3507.01 |
Total Drug Medicare AllowedAmount |
1035.59 |
Total Drug Medicare PaymentAmount |
1014.79 |
Total Drug Medicare Standardized Payment Amount |
1014.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
815 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
318126 |
Total Medical Medicare Allowed Amount |
70391.6 |
Total Medical Medicare Payment Amount |
50820.44 |
Total Medical Medicare Standardized Payment Amount |
52631.07 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
65 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
324 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0511 |