National Provider Identifier [NPI]: |
1528062973 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
EDUARDO |
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 |
2310 N ED CAREY DR |
Street Address 2 Of The Provider |
1A |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785508200 |
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 |
76 |
Number Of Services |
5522 |
Number Of Medicare Beneficiaries |
1638 |
Total Submitted Charge Amount |
887311 |
Total Medicare Allowed Amount |
357953.88 |
Total Medicare Payment Amount |
266789.68 |
Total Medicare Standardized Payment Amount |
280656.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
34026 |
Total Drug Medicare AllowedAmount |
11300.3 |
Total Drug Medicare PaymentAmount |
8859.33 |
Total Drug Medicare Standardized Payment Amount |
8859.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
5291 |
Number Of Medicare Beneficiaries With Medical Services |
1638 |
Total Medical Submitted Charge Amount |
853285 |
Total Medical Medicare Allowed Amount |
346653.58 |
Total Medical Medicare Payment Amount |
257930.35 |
Total Medical Medicare Standardized Payment Amount |
271796.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
519 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
854 |
Number Of Male Beneficiaries |
784 |
Number Of Non Hispanic White Beneficiaries |
549 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1065 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
807 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
831 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
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 |
2.3892 |