Medicare Facts for Dr. Raul A. Marquez, MD


National Provider Identifier [NPI]: 1164434320
Last Name Of The Provider MARQUEZ
First Name Of The Provider RAUL
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2402 CORNERSTONE BLVD
Street Address 2 Of The Provider
City Of The Provider EDINBURG
Zip Code Of The Provider 785398462
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 90
Number Of Services 2631
Number Of Medicare Beneficiaries 730
Total Submitted Charge Amount 2129618
Total Medicare Allowed Amount 454670.82
Total Medicare Payment Amount 345438.44
Total Medicare Standardized Payment Amount 367530.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 835
Number Of Medicare Beneficiaries With Drug Services 120
Total Drug Submitted ChargeAmount 50964
Total Drug Medicare AllowedAmount 9812.54
Total Drug Medicare PaymentAmount 7688.94
Total Drug Medicare Standardized Payment Amount 7688.94
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 1796
Number Of Medicare Beneficiaries With Medical Services 730
Total Medical Submitted Charge Amount 2078654
Total Medical Medicare Allowed Amount 444858.28
Total Medical Medicare Payment Amount 337749.5
Total Medical Medicare Standardized Payment Amount 359842.04
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 122
Number Of Beneficiaries Age 65 to 74 341
Number Of Beneficiaries Age 75 to 84 228
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 496
Number Of Male Beneficiaries 234
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 533
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 340
Number Of Beneficiaries With Medicare Medicaid Entitlement 390
Percent Of With Atrial Fibrillation 3
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 28
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.2737

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