National Provider Identifier [NPI]: |
1538274824 |
Last Name Of The Provider |
MUNOZ |
First Name Of The Provider |
OSCAR |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11551 CEDAR OAK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799366028 |
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 |
103 |
Number Of Services |
5567 |
Number Of Medicare Beneficiaries |
872 |
Total Submitted Charge Amount |
1459722.99 |
Total Medicare Allowed Amount |
493032.29 |
Total Medicare Payment Amount |
380027.8 |
Total Medicare Standardized Payment Amount |
399208.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1923 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
25955 |
Total Drug Medicare AllowedAmount |
10319.07 |
Total Drug Medicare PaymentAmount |
8090.1 |
Total Drug Medicare Standardized Payment Amount |
8090.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
3644 |
Number Of Medicare Beneficiaries With Medical Services |
872 |
Total Medical Submitted Charge Amount |
1433767.99 |
Total Medical Medicare Allowed Amount |
482713.22 |
Total Medical Medicare Payment Amount |
371937.7 |
Total Medical Medicare Standardized Payment Amount |
391118.28 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
220 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
617 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
407 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5538 |