National Provider Identifier [NPI]: |
1063404408 |
Last Name Of The Provider |
SANCHEZ |
First Name Of The Provider |
RAMON |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
343 W HOUSTON ST |
Street Address 2 Of The Provider |
706 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782052107 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
2223 |
Number Of Medicare Beneficiaries |
375 |
Total Submitted Charge Amount |
220441.98 |
Total Medicare Allowed Amount |
180611.84 |
Total Medicare Payment Amount |
125649.05 |
Total Medicare Standardized Payment Amount |
136686.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
2223 |
Number Of Medicare Beneficiaries With Medical Services |
375 |
Total Medical Submitted Charge Amount |
220441.98 |
Total Medical Medicare Allowed Amount |
180611.84 |
Total Medical Medicare Payment Amount |
125649.05 |
Total Medical Medicare Standardized Payment Amount |
136686.72 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
277 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
118 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
203 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
56 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
319 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
62 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3447 |