National Provider Identifier [NPI]: |
1972714806 |
Last Name Of The Provider |
DURAN |
First Name Of The Provider |
JESUS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2450 S TELSHOR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS CRUCES |
Zip Code Of The Provider |
880115069 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
4862 |
Number Of Medicare Beneficiaries |
1510 |
Total Submitted Charge Amount |
471528 |
Total Medicare Allowed Amount |
334288.03 |
Total Medicare Payment Amount |
236906.25 |
Total Medicare Standardized Payment Amount |
244664.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
265 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
7545 |
Total Drug Medicare AllowedAmount |
3006.63 |
Total Drug Medicare PaymentAmount |
2900.84 |
Total Drug Medicare Standardized Payment Amount |
2900.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4597 |
Number Of Medicare Beneficiaries With Medical Services |
1510 |
Total Medical Submitted Charge Amount |
463983 |
Total Medical Medicare Allowed Amount |
331281.4 |
Total Medical Medicare Payment Amount |
234005.41 |
Total Medical Medicare Standardized Payment Amount |
241763.89 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
494 |
Number Of Female Beneficiaries |
875 |
Number Of Male Beneficiaries |
635 |
Number Of Non Hispanic White Beneficiaries |
964 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
496 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
999 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.651 |