National Provider Identifier [NPI]: |
1053594994 |
Last Name Of The Provider |
LUNA |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8042 WURZBACH RD |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293818 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4934 |
Number Of Medicare Beneficiaries |
630 |
Total Submitted Charge Amount |
751770 |
Total Medicare Allowed Amount |
344550.37 |
Total Medicare Payment Amount |
264804.39 |
Total Medicare Standardized Payment Amount |
275782.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
506 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
10389 |
Total Drug Medicare AllowedAmount |
5399.97 |
Total Drug Medicare PaymentAmount |
4212 |
Total Drug Medicare Standardized Payment Amount |
4212 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
4428 |
Number Of Medicare Beneficiaries With Medical Services |
630 |
Total Medical Submitted Charge Amount |
741381 |
Total Medical Medicare Allowed Amount |
339150.4 |
Total Medical Medicare Payment Amount |
260592.39 |
Total Medical Medicare Standardized Payment Amount |
271570.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
277 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
4.3859 |