Medicare Facts for Hector C. Soto


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

Doctor Directory | TOS | twitter | FB | Angel | blog