National Provider Identifier [NPI]: |
1013929272 |
Last Name Of The Provider |
ROSAS |
First Name Of The Provider |
CARLOS |
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 |
5850 FM 802 STE C2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROWNSVILLE |
Zip Code Of The Provider |
785265206 |
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 |
74 |
Number Of Services |
7679 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
742793.6 |
Total Medicare Allowed Amount |
377799.83 |
Total Medicare Payment Amount |
292310.35 |
Total Medicare Standardized Payment Amount |
308879.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
305 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
24805 |
Total Drug Medicare AllowedAmount |
9412.89 |
Total Drug Medicare PaymentAmount |
9195.63 |
Total Drug Medicare Standardized Payment Amount |
9195.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
7374 |
Number Of Medicare Beneficiaries With Medical Services |
379 |
Total Medical Submitted Charge Amount |
717988.6 |
Total Medical Medicare Allowed Amount |
368386.94 |
Total Medical Medicare Payment Amount |
283114.72 |
Total Medical Medicare Standardized Payment Amount |
299683.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
19 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
361 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
51 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5476 |