National Provider Identifier [NPI]: |
1730219098 |
Last Name Of The Provider |
ALVARADO |
First Name Of The Provider |
FRANKIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 AVE FD ROOSEVELT |
Street Address 2 Of The Provider |
SUITE 205 CLINICA LAS AMERICAS |
City Of The Provider |
SAN JUAN |
Zip Code Of The Provider |
009182103 |
State Code Of The Provider |
PR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
1280 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
130246.63 |
Total Medicare Allowed Amount |
130120.63 |
Total Medicare Payment Amount |
101307.2 |
Total Medicare Standardized Payment Amount |
80830.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
339.01 |
Total Drug Medicare AllowedAmount |
336.97 |
Total Drug Medicare PaymentAmount |
330.19 |
Total Drug Medicare Standardized Payment Amount |
330.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1256 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
129907.62 |
Total Medical Medicare Allowed Amount |
129783.66 |
Total Medical Medicare Payment Amount |
100977.01 |
Total Medical Medicare Standardized Payment Amount |
80500.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
293 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1856 |