Medicare Facts for Dr. Luis H. Negron Delgado, MD


National Provider Identifier [NPI]: 1114922499
Last Name Of The Provider DELGADO
First Name Of The Provider LUIS
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5128 N 10TH ST
Street Address 2 Of The Provider
City Of The Provider MCALLEN
Zip Code Of The Provider 785042834
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 78
Number Of Services 6179
Number Of Medicare Beneficiaries 827
Total Submitted Charge Amount 423139
Total Medicare Allowed Amount 270484.48
Total Medicare Payment Amount 199013.45
Total Medicare Standardized Payment Amount 212809.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 346
Number Of Medicare Beneficiaries With Drug Services 223
Total Drug Submitted ChargeAmount 18936
Total Drug Medicare AllowedAmount 10236.77
Total Drug Medicare PaymentAmount 9728.21
Total Drug Medicare Standardized Payment Amount 9728.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 5833
Number Of Medicare Beneficiaries With Medical Services 826
Total Medical Submitted Charge Amount 404203
Total Medical Medicare Allowed Amount 260247.71
Total Medical Medicare Payment Amount 189285.24
Total Medical Medicare Standardized Payment Amount 203081.55
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 110
Number Of Beneficiaries Age 65 to 74 333
Number Of Beneficiaries Age 75 to 84 277
Number Of Beneficiaries Age Greater 84 107
Number Of Female Beneficiaries 483
Number Of Male Beneficiaries 344
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 555
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 485
Number Of Beneficiaries With Medicare Medicaid Entitlement 342
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 4
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 17
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.3417

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