Medicare Facts for Dr. Lara T. Via, MD


National Provider Identifier [NPI]: 1609046804
Last Name Of The Provider VIA
First Name Of The Provider LARA
Middle Initial Of The Provider T
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2401 S 31ST ST
Street Address 2 Of The Provider
City Of The Provider TEMPLE
Zip Code Of The Provider 765080002
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 3
Number Of Services 37
Number Of Medicare Beneficiaries 37
Total Submitted Charge Amount 4990
Total Medicare Allowed Amount 1800.72
Total Medicare Payment Amount 1411.86
Total Medicare Standardized Payment Amount 1462.02
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 3
Number Of Medical Services 37
Number Of Medicare Beneficiaries With Medical Services 37
Total Medical Submitted Charge Amount 4990
Total Medical Medicare Allowed Amount 1800.72
Total Medical Medicare Payment Amount 1411.86
Total Medical Medicare Standardized Payment Amount 1462.02
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 26
Number Of Male Beneficiaries 11
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9403

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