National Provider Identifier [NPI]: |
1386690360 |
Last Name Of The Provider |
SOTO |
First Name Of The Provider |
HECTOR |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E RIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031346 |
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 |
91 |
Number Of Services |
9455 |
Number Of Medicare Beneficiaries |
2414 |
Total Submitted Charge Amount |
3140531.82 |
Total Medicare Allowed Amount |
865280.08 |
Total Medicare Payment Amount |
656826.09 |
Total Medicare Standardized Payment Amount |
695202.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
970 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
51824.8 |
Total Drug Medicare AllowedAmount |
50837.86 |
Total Drug Medicare PaymentAmount |
39232.26 |
Total Drug Medicare Standardized Payment Amount |
39232.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
8485 |
Number Of Medicare Beneficiaries With Medical Services |
2414 |
Total Medical Submitted Charge Amount |
3088707.02 |
Total Medical Medicare Allowed Amount |
814442.22 |
Total Medical Medicare Payment Amount |
617593.83 |
Total Medical Medicare Standardized Payment Amount |
655969.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
290 |
Number Of Beneficiaries Age 65 to 74 |
863 |
Number Of Beneficiaries Age 75 to 84 |
828 |
Number Of Beneficiaries Age Greater 84 |
433 |
Number Of Female Beneficiaries |
1296 |
Number Of Male Beneficiaries |
1118 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1732 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1299 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2306 |