National Provider Identifier [NPI]: |
1891892436 |
Last Name Of The Provider |
GIRALDO |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 E RIDGE RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031506 |
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 |
80 |
Number Of Services |
2510 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
499259 |
Total Medicare Allowed Amount |
250603.75 |
Total Medicare Payment Amount |
187088.5 |
Total Medicare Standardized Payment Amount |
198253.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
3792 |
Total Drug Medicare AllowedAmount |
1844.37 |
Total Drug Medicare PaymentAmount |
1357.68 |
Total Drug Medicare Standardized Payment Amount |
1357.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
2469 |
Number Of Medicare Beneficiaries With Medical Services |
733 |
Total Medical Submitted Charge Amount |
495467 |
Total Medical Medicare Allowed Amount |
248759.38 |
Total Medical Medicare Payment Amount |
185730.82 |
Total Medical Medicare Standardized Payment Amount |
196895.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
378 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
502 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
402 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5007 |