National Provider Identifier [NPI]: |
1760432025 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
HIRAM |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1002 W SAM HOUSTON ST |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
PHARR |
Zip Code Of The Provider |
785775224 |
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 |
132 |
Number Of Services |
23005 |
Number Of Medicare Beneficiaries |
911 |
Total Submitted Charge Amount |
1117081.46 |
Total Medicare Allowed Amount |
622948.86 |
Total Medicare Payment Amount |
461857.15 |
Total Medicare Standardized Payment Amount |
480146.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
4224 |
Number Of Medicare Beneficiaries With Drug Services |
487 |
Total Drug Submitted ChargeAmount |
142590.25 |
Total Drug Medicare AllowedAmount |
8600 |
Total Drug Medicare PaymentAmount |
7249.82 |
Total Drug Medicare Standardized Payment Amount |
7249.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
18781 |
Number Of Medicare Beneficiaries With Medical Services |
911 |
Total Medical Submitted Charge Amount |
974491.21 |
Total Medical Medicare Allowed Amount |
614348.86 |
Total Medical Medicare Payment Amount |
454607.33 |
Total Medical Medicare Standardized Payment Amount |
472896.86 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
235 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
372 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
740 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
641 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3974 |