National Provider Identifier [NPI]: |
1598863813 |
Last Name Of The Provider |
SANCHEZ |
First Name Of The Provider |
FERNANDO |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
709 E CALTON RD STE 105 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAREDO |
Zip Code Of The Provider |
780413664 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
9532 |
Number Of Medicare Beneficiaries |
1025 |
Total Submitted Charge Amount |
1513705.72 |
Total Medicare Allowed Amount |
777149.7 |
Total Medicare Payment Amount |
607024.78 |
Total Medicare Standardized Payment Amount |
626302.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
9532 |
Number Of Medicare Beneficiaries With Medical Services |
1025 |
Total Medical Submitted Charge Amount |
1513705.72 |
Total Medical Medicare Allowed Amount |
777149.7 |
Total Medical Medicare Payment Amount |
607024.78 |
Total Medical Medicare Standardized Payment Amount |
626302.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
938 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
722 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.2661 |