National Provider Identifier [NPI]: |
1891790960 |
Last Name Of The Provider |
ABUEME |
First Name Of The Provider |
JEREMIAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5282 MEDICAL DRIVE |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782296023 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1084 |
Number Of Medicare Beneficiaries |
343 |
Total Submitted Charge Amount |
122622 |
Total Medicare Allowed Amount |
89708.97 |
Total Medicare Payment Amount |
60989.34 |
Total Medicare Standardized Payment Amount |
65866.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
1870 |
Total Drug Medicare AllowedAmount |
532.48 |
Total Drug Medicare PaymentAmount |
521.22 |
Total Drug Medicare Standardized Payment Amount |
521.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1031 |
Number Of Medicare Beneficiaries With Medical Services |
343 |
Total Medical Submitted Charge Amount |
120752 |
Total Medical Medicare Allowed Amount |
89176.49 |
Total Medical Medicare Payment Amount |
60468.12 |
Total Medical Medicare Standardized Payment Amount |
65345.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
184 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7528 |