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Raul A Marquez

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NPI Number Detailed Information

Provider Information:

Name: Raul A Marquez
Gender: M
Provider License Number If Given: J1302

NPI Information:

NPI: 1164434320
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/13/2006

Last Update Date: 2/5/2016

Reputation Report:

Provider Business Mailing Address:

Address: 2402 CORNERSTONE BLVD
Edinburg, TX 78539
Phone Number: 9566680060
Fax Number: 9566680070

Provider Business Practice Location Address:

Address: 2402 CORNERSTONE BLVD
Edinburg, TX 78539
Phone Number: 9566680060
Fax Number: 9569718809

Provider Taxonomy:

Primary: 207XS0114X
Secondary (if any):
State: TX

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About Raul A Marquez

Raul A Marquez ( RAUL A MARQUEZ ) is Recognized Orthopaedic Surgery Physician in Edinburg, TX. The NPI Number for Raul A Marquez is 1164434320.
The current location address for Raul A Marquez is 2402 CORNERSTONE BLVD Edinburg, TX 78539 and the contact number is 9566680060 and fax number is 9566680070. The mailing address for Raul A Marquez is 2402 CORNERSTONE BLVD Edinburg, TX 78539- 9566680060 (mailing address contact number - 9566680060).
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Provider Business Location on Map

FAQs:

What is the NPI Number for Raul A Marquez ?


Answer: The NPI Number for Raul A Marquez is 1164434320

Where is Raul A Marquez located?


Answer: Raul A Marquez is located at 2402 CORNERSTONE BLVD Edinburg, TX 78539.

What is the specialty for Raul A Marquez ?


Answer: The Specialty of Raul A Marquez is Recognized Orthopaedic Surgery Physician.

Are there any online reviews for Raul A Marquez ?


Answer: Yes! Check It Now.

Are there any other health care providers in Edinburg, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Raul A Marquez

Number of HCPCS 71
Number of Medicare Beneficiaries 276
Number of Services 1226
Total Submitted Charge Amount 651127
Total Medicare Allowed Amount 171772.6
Total Medicare Payment Amount 133803.21
Total Medicare Standardized Payment Amount 138456.55
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 94
Number of Drug Services 149
Total Drug Submitted Charge Amount 11640
Total Drug Medicare Allowed Amount 3365.76
Total Drug Medicare Payment Amount 2699.08
Total Drug Medicare Standardized Payment Amount 2647.51
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 68
Number of Medicare Beneficiaries With Medical 276
Number of Medical Services 1077
Total Medical Submitted Charge Amount 639487
Total Medical Medicare Allowed Amount 168406.84
Total Medical Medicare Payment Amount 131104.13
Total Medical Medicare Standardized Payment Amount 135809.04
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 23
Number of Beneficiaries Age 65 to 74 128
Number of Beneficiaries Age 75 to 84 100
Number of Beneficiaries Age Greater 84 25
Number of Female Beneficiaries 191
Number of Male Beneficiaries 85
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 171
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 88
Number of Beneficiaries With Medicare Only Entitlement 188
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.17
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.47
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.47
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.42
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.2562

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Orthopedic Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1699
Number of Standardized 30-Day Fills 1899.7333333
Aggregate Cost Paid for All Claims 36476.89
Number of Day's Supply for All Claims 46179
Number of Medicare Beneficiaries 688
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1405
Including Refills, for Beneficiaries Age 65+ 1554.8333333
Beneficiaries Age 65+ 29804.62
Number of Day's Supply for All Claims for Beneficaries Age 65+ 37705
Number of Medicare Beneficiaries Age 65+ 585
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1691
Aggregate Cost Paid for Generic Drugs 34405.99
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1200
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 27730
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 499
Aggregate Cost Paid for Claims Filled by 8746.89
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1165
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 26805.76
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 534
by Low-Income Subsidy 9671.13
Total Claims of Opioid Drugs, Including 477
Aggregate Cost Paid for Opioid Drugs 5618.49
Opioid Claims 259
Opioid_Tot_Clms divided by the Tot_Clms 28.075338434
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 35
Aggregate Cost Paid for Antibiotic Drugs 200.73
Antibiotic Claims 33
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 71.056686047
Number of Beneficiaries Age Less Than 65 103
Number of Beneficiaries Age 65 to 74 356
Number of Beneficiaries Age 75 to 84 196
Number of Female Beneficiaries 444
Number of Male Beneficiaries 244
Number of Non-Hispanic White 96
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 586
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 305
Average Hierarchical Condition Category 1.6203788738

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