National Provider Identifier [NPI]: |
1922088426 |
Last Name Of The Provider |
MARQUEZ |
First Name Of The Provider |
MISAEL |
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 |
2601 ANNAND DR |
Street Address 2 Of The Provider |
SUITE 13 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198083719 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
3735 |
Number Of Medicare Beneficiaries |
860 |
Total Submitted Charge Amount |
414082 |
Total Medicare Allowed Amount |
328373.27 |
Total Medicare Payment Amount |
244876.44 |
Total Medicare Standardized Payment Amount |
241845.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
3490 |
Total Drug Medicare AllowedAmount |
1275.82 |
Total Drug Medicare PaymentAmount |
1214.46 |
Total Drug Medicare Standardized Payment Amount |
1214.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3635 |
Number Of Medicare Beneficiaries With Medical Services |
860 |
Total Medical Submitted Charge Amount |
410592 |
Total Medical Medicare Allowed Amount |
327097.45 |
Total Medical Medicare Payment Amount |
243661.98 |
Total Medical Medicare Standardized Payment Amount |
240631.21 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
652 |
Number Of Black or African American Beneficiaries |
128 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.0664 |