National Provider Identifier [NPI]: |
1730117458 |
Last Name Of The Provider |
MORALES |
First Name Of The Provider |
FELIX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1307 CLEVELAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRIONA |
Zip Code Of The Provider |
790351121 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1416 |
Number Of Medicare Beneficiaries |
425 |
Total Submitted Charge Amount |
118471.59 |
Total Medicare Allowed Amount |
72229.52 |
Total Medicare Payment Amount |
53139.66 |
Total Medicare Standardized Payment Amount |
55770.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
391 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
3074.59 |
Total Drug Medicare AllowedAmount |
995.31 |
Total Drug Medicare PaymentAmount |
935.46 |
Total Drug Medicare Standardized Payment Amount |
935.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1025 |
Number Of Medicare Beneficiaries With Medical Services |
425 |
Total Medical Submitted Charge Amount |
115397 |
Total Medical Medicare Allowed Amount |
71234.21 |
Total Medical Medicare Payment Amount |
52204.2 |
Total Medical Medicare Standardized Payment Amount |
54834.9 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
225 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
228 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6397 |