National Provider Identifier [NPI]: |
1043342181 |
Last Name Of The Provider |
ESQUIVEL |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11212 STATE HWY 151 |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782514409 |
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 |
60 |
Number Of Services |
1917 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
270620 |
Total Medicare Allowed Amount |
132460.63 |
Total Medicare Payment Amount |
87632.16 |
Total Medicare Standardized Payment Amount |
95121.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
243 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
5340 |
Total Drug Medicare AllowedAmount |
1480.84 |
Total Drug Medicare PaymentAmount |
1418.21 |
Total Drug Medicare Standardized Payment Amount |
1418.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1674 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
265280 |
Total Medical Medicare Allowed Amount |
130979.79 |
Total Medical Medicare Payment Amount |
86213.95 |
Total Medical Medicare Standardized Payment Amount |
93703.42 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
175 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
183 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0565 |