National Provider Identifier [NPI]: |
1194748004 |
Last Name Of The Provider |
HERNANDEZ |
First Name Of The Provider |
EDUARDO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6624 FANNIN ST |
Street Address 2 Of The Provider |
SUITE 2780 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302312 |
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 |
92 |
Number Of Services |
2109 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
516548.42 |
Total Medicare Allowed Amount |
369596.61 |
Total Medicare Payment Amount |
284557.32 |
Total Medicare Standardized Payment Amount |
283597.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
400 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
22159.92 |
Total Drug Medicare AllowedAmount |
21185.47 |
Total Drug Medicare PaymentAmount |
16609.26 |
Total Drug Medicare Standardized Payment Amount |
16609.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
1709 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
494388.5 |
Total Medical Medicare Allowed Amount |
348411.14 |
Total Medical Medicare Payment Amount |
267948.06 |
Total Medical Medicare Standardized Payment Amount |
266988.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.845 |