National Provider Identifier [NPI]: |
1326142639 |
Last Name Of The Provider |
GARZA-ARREOLA |
First Name Of The Provider |
LUIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4301 N MESA ST |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799021118 |
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 |
91 |
Number Of Services |
3922 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
763939.04 |
Total Medicare Allowed Amount |
308677.94 |
Total Medicare Payment Amount |
230966.22 |
Total Medicare Standardized Payment Amount |
245319.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
511 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
9789 |
Total Drug Medicare AllowedAmount |
774.43 |
Total Drug Medicare PaymentAmount |
607.12 |
Total Drug Medicare Standardized Payment Amount |
607.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
3411 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
754150.04 |
Total Medical Medicare Allowed Amount |
307903.51 |
Total Medical Medicare Payment Amount |
230359.1 |
Total Medical Medicare Standardized Payment Amount |
244712.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
164 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
620 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
382 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
441 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5214 |