National Provider Identifier [NPI]: |
1144256926 |
Last Name Of The Provider |
CASTELLANOS |
First Name Of The Provider |
MIGUEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 STRICKLAND DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
776304786 |
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 |
104 |
Number Of Services |
10309 |
Number Of Medicare Beneficiaries |
1476 |
Total Submitted Charge Amount |
1344323.2 |
Total Medicare Allowed Amount |
594610.02 |
Total Medicare Payment Amount |
440412.23 |
Total Medicare Standardized Payment Amount |
470960.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1018 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
4721.86 |
Total Drug Medicare AllowedAmount |
4301.01 |
Total Drug Medicare PaymentAmount |
3371.4 |
Total Drug Medicare Standardized Payment Amount |
3371.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
9291 |
Number Of Medicare Beneficiaries With Medical Services |
1476 |
Total Medical Submitted Charge Amount |
1339601.34 |
Total Medical Medicare Allowed Amount |
590309.01 |
Total Medical Medicare Payment Amount |
437040.83 |
Total Medical Medicare Standardized Payment Amount |
467588.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
478 |
Number Of Beneficiaries Age 75 to 84 |
511 |
Number Of Beneficiaries Age Greater 84 |
261 |
Number Of Female Beneficiaries |
834 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
1236 |
Number Of Black or African American Beneficiaries |
195 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5359 |