National Provider Identifier [NPI]: |
1306841366 |
Last Name Of The Provider |
GARZA |
First Name Of The Provider |
JUAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2310 N ED CAREY DR |
Street Address 2 Of The Provider |
SUITE 1A |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785508200 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
8225 |
Number Of Medicare Beneficiaries |
2031 |
Total Submitted Charge Amount |
1638502 |
Total Medicare Allowed Amount |
652395.6 |
Total Medicare Payment Amount |
490929 |
Total Medicare Standardized Payment Amount |
518520.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
76927 |
Total Drug Medicare AllowedAmount |
25961.31 |
Total Drug Medicare PaymentAmount |
20351.59 |
Total Drug Medicare Standardized Payment Amount |
20351.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
7721 |
Number Of Medicare Beneficiaries With Medical Services |
2031 |
Total Medical Submitted Charge Amount |
1561575 |
Total Medical Medicare Allowed Amount |
626434.29 |
Total Medical Medicare Payment Amount |
470577.41 |
Total Medical Medicare Standardized Payment Amount |
498169.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
254 |
Number Of Beneficiaries Age 65 to 74 |
693 |
Number Of Beneficiaries Age 75 to 84 |
710 |
Number Of Beneficiaries Age Greater 84 |
374 |
Number Of Female Beneficiaries |
1092 |
Number Of Male Beneficiaries |
939 |
Number Of Non Hispanic White Beneficiaries |
744 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1267 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1000 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1031 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2469 |