Medicare Facts for Dr. Hiram L. Garcia, MD


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

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