National Provider Identifier [NPI]: |
1346353414 |
Last Name Of The Provider |
VELA |
First Name Of The Provider |
RENE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 S ALAMO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALAMO |
Zip Code Of The Provider |
78516 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
7785 |
Number Of Medicare Beneficiaries |
894 |
Total Submitted Charge Amount |
618564.99 |
Total Medicare Allowed Amount |
389291.33 |
Total Medicare Payment Amount |
280351.37 |
Total Medicare Standardized Payment Amount |
296242.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
832 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
27100.14 |
Total Drug Medicare AllowedAmount |
2337.69 |
Total Drug Medicare PaymentAmount |
2037.19 |
Total Drug Medicare Standardized Payment Amount |
2037.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6953 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
591464.85 |
Total Medical Medicare Allowed Amount |
386953.64 |
Total Medical Medicare Payment Amount |
278314.18 |
Total Medical Medicare Standardized Payment Amount |
294205.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
596 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
498 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4181 |