National Provider Identifier [NPI]: |
1295733434 |
Last Name Of The Provider |
ARMENDARIZ |
First Name Of The Provider |
EUGENIO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4305 N MESA ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799021123 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
5136 |
Number Of Medicare Beneficiaries |
952 |
Total Submitted Charge Amount |
1419933.41 |
Total Medicare Allowed Amount |
519911.9 |
Total Medicare Payment Amount |
396216.63 |
Total Medicare Standardized Payment Amount |
414239.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
532 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
21656.83 |
Total Drug Medicare AllowedAmount |
9242.53 |
Total Drug Medicare PaymentAmount |
8843.04 |
Total Drug Medicare Standardized Payment Amount |
8843.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4604 |
Number Of Medicare Beneficiaries With Medical Services |
952 |
Total Medical Submitted Charge Amount |
1398276.58 |
Total Medical Medicare Allowed Amount |
510669.37 |
Total Medical Medicare Payment Amount |
387373.59 |
Total Medical Medicare Standardized Payment Amount |
405396.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
327 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
571 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
421 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
35 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4817 |