| National Provider Identifier [NPI]: | 1093920399 |
| Last Name Of The Provider | SAENZ |
| First Name Of The Provider | JORGE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D.P.A. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1416 E EXPRESSWAY 83 |
| Street Address 2 Of The Provider | STE. 2 |
| City Of The Provider | WESLACO |
| Zip Code Of The Provider | 785964530 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 303 |
| Number Of Services | 9159 |
| Number Of Medicare Beneficiaries | 4892 |
| Total Submitted Charge Amount | 1889752.29 |
| Total Medicare Allowed Amount | 327064.93 |
| Total Medicare Payment Amount | 253851.44 |
| Total Medicare Standardized Payment Amount | 263748.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 303 |
| Number Of Medical Services | 9159 |
| Number Of Medicare Beneficiaries With Medical Services | 4892 |
| Total Medical Submitted Charge Amount | 1889752.29 |
| Total Medical Medicare Allowed Amount | 327064.93 |
| Total Medical Medicare Payment Amount | 253851.44 |
| Total Medical Medicare Standardized Payment Amount | 263748.6 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 953 |
| Number Of Beneficiaries Age 65 to 74 | 1702 |
| Number Of Beneficiaries Age 75 to 84 | 1496 |
| Number Of Beneficiaries Age Greater 84 | 741 |
| Number Of Female Beneficiaries | 2924 |
| Number Of Male Beneficiaries | 1968 |
| Number Of Non Hispanic White Beneficiaries | 1219 |
| Number Of Black or African American Beneficiaries | 14 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 3626 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1785 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3107 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 61 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.4371 |