Medicare Facts for Dr. Hernan L. Medina, MD


National Provider Identifier [NPI]: 1982684924
Last Name Of The Provider MEDINA
First Name Of The Provider HERNAN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6838 N 23RD AVE
Street Address 2 Of The Provider
City Of The Provider PHOENIX
Zip Code Of The Provider 85015
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 1071
Number Of Medicare Beneficiaries 399
Total Submitted Charge Amount 243085
Total Medicare Allowed Amount 135476.35
Total Medicare Payment Amount 105323.98
Total Medicare Standardized Payment Amount 105990
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 144
Number Of Beneficiaries Age 75 to 84 134
Number Of Beneficiaries Age Greater 84 101
Number Of Female Beneficiaries 233
Number Of Male Beneficiaries 166
Number Of Non Hispanic White Beneficiaries 375
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 377
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 11
Percent Of With Cancer 15
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 28
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.7121

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