National Provider Identifier [NPI]: |
1083617328 |
Last Name Of The Provider |
MARRANZINI |
First Name Of The Provider |
BENITO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10525 VISTA DEL SOL DR |
Street Address 2 Of The Provider |
STE.206 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799257944 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2472 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
489939.18 |
Total Medicare Allowed Amount |
198105.04 |
Total Medicare Payment Amount |
140155.25 |
Total Medicare Standardized Payment Amount |
150871.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
69 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
1875.18 |
Total Drug Medicare AllowedAmount |
737.54 |
Total Drug Medicare PaymentAmount |
722.1 |
Total Drug Medicare Standardized Payment Amount |
722.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2403 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
488064 |
Total Medical Medicare Allowed Amount |
197367.5 |
Total Medical Medicare Payment Amount |
139433.15 |
Total Medical Medicare Standardized Payment Amount |
150149.46 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
129 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
380 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.565 |