Ms. Petra De Leon

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Petra De Leon
Gender:	F
Provider License Number If Given:	AP131476

NPI Information:

NPI:	1811340490
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/19/2016
Last Update Date:	4/11/2023

Provider Business Mailing Address:

Address:	PO BOX 61160 Corpus Christi, TX 78466
Phone Number:	3618842904
Fax Number:	3613718376

Provider Business Practice Location Address:

Address:	1205 E SAN PATRICIO AVE Mathis, TX 78368
Phone Number:	3614534470
Fax Number:	8006215209

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	TX

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About Ms. Petra De Leon

Ms. Petra De Leon (MS. PETRA DE LEON ) is Definition Nurse Practitioner Physician in Mathis, TX. The NPI Number for Ms. Petra De Leon is 1811340490.

The current location address for Ms. Petra De Leon is 1205 E SAN PATRICIO AVE Mathis, TX 78368 and the contact number is 3618842904 and fax number is 3613718376. The mailing address for Ms. Petra De Leon is PO BOX 61160 Corpus Christi, TX 78466- 3614534470 (mailing address contact number - 3618842904).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Petra De Leon ?

Answer: The NPI Number for Ms. Petra De Leon is 1811340490

Where is Ms. Petra De Leon located?

Answer: Ms. Petra De Leon is located at 1205 E SAN PATRICIO AVE Mathis, TX 78368.

What is the specialty for Ms. Petra De Leon ?

Answer: The Specialty of Ms. Petra De Leon is Definition Nurse Practitioner Physician.

Are there any online reviews for Ms. Petra De Leon ?

Answer: Not yet!

Are there any other health care providers in Mathis, 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 Ms. Petra De Leon

Number of HCPCS	13
Number of Medicare Beneficiaries	38
Number of Services	88
Total Submitted Charge Amount	22110
Total Medicare Allowed Amount	6764.8
Total Medicare Payment Amount	6117.14
Total Medicare Standardized Payment Amount	6200.47
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	18
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	23
Number of Male Beneficiaries	15
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	25
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.53
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.5
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.5
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.5
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.1209

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	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	56
Number of Standardized 30-Day Fills	60.666666667
Aggregate Cost Paid for All Claims	3894.22
Number of Day's Supply for All Claims	976
Number of Medicare Beneficiaries	36
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
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	50
Aggregate Cost Paid for Generic Drugs	667.67
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	29
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	3446.26
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	27
Aggregate Cost Paid for Claims Filled by	447.96
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	14
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	2635.37
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	42
by Low-Income Subsidy	1258.85
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
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
Total Claims of Antibiotic Drugs, Including	18
Aggregate Cost Paid for Antibiotic Drugs	299.06
Antibiotic Claims	17
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	68.444444444
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	24
Number of Male Beneficiaries	12
Number of Non-Hispanic White	12
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	23
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement
Average Hierarchical Condition Category	1.3582167729

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Address: 1205 E SAN PATRICIO AVE Mathis, TX 78368 , Phone: 3614534470

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