National Provider Identifier [NPI]: |
1134166788 |
Last Name Of The Provider |
BOEK |
First Name Of The Provider |
MARCELO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 S 2ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031271 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
92632 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
4323000 |
Total Medicare Allowed Amount |
1290343.56 |
Total Medicare Payment Amount |
1009108.93 |
Total Medicare Standardized Payment Amount |
1024714.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
81194 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
2952584 |
Total Drug Medicare AllowedAmount |
872184.08 |
Total Drug Medicare PaymentAmount |
681600 |
Total Drug Medicare Standardized Payment Amount |
681600 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
11438 |
Number Of Medicare Beneficiaries With Medical Services |
578 |
Total Medical Submitted Charge Amount |
1370416 |
Total Medical Medicare Allowed Amount |
418159.48 |
Total Medical Medicare Payment Amount |
327508.93 |
Total Medical Medicare Standardized Payment Amount |
343114.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
480 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.3735 |