National Provider Identifier [NPI]: |
1104845445 |
Last Name Of The Provider |
MARCOS |
First Name Of The Provider |
YOLANDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 MED COURT |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782583936 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6491 |
Number Of Medicare Beneficiaries |
664 |
Total Submitted Charge Amount |
538950 |
Total Medicare Allowed Amount |
355894.44 |
Total Medicare Payment Amount |
264052.7 |
Total Medicare Standardized Payment Amount |
284097.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
509 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
20270 |
Total Drug Medicare AllowedAmount |
13711.51 |
Total Drug Medicare PaymentAmount |
12899.47 |
Total Drug Medicare Standardized Payment Amount |
12899.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
5982 |
Number Of Medicare Beneficiaries With Medical Services |
664 |
Total Medical Submitted Charge Amount |
518680 |
Total Medical Medicare Allowed Amount |
342182.93 |
Total Medical Medicare Payment Amount |
251153.23 |
Total Medical Medicare Standardized Payment Amount |
271198.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
369 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9687 |