National Provider Identifier [NPI]: |
1225135478 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1717 OAK PARK BLVD |
Street Address 2 Of The Provider |
SECOND FLOOR |
City Of The Provider |
LAKE CHARLES |
Zip Code Of The Provider |
706018991 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
9518 |
Number Of Medicare Beneficiaries |
3258 |
Total Submitted Charge Amount |
2582713.72 |
Total Medicare Allowed Amount |
694846.15 |
Total Medicare Payment Amount |
508883.83 |
Total Medicare Standardized Payment Amount |
556161.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
576 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
32132.12 |
Total Drug Medicare AllowedAmount |
30500.01 |
Total Drug Medicare PaymentAmount |
22936.66 |
Total Drug Medicare Standardized Payment Amount |
22936.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
8942 |
Number Of Medicare Beneficiaries With Medical Services |
3258 |
Total Medical Submitted Charge Amount |
2550581.6 |
Total Medical Medicare Allowed Amount |
664346.14 |
Total Medical Medicare Payment Amount |
485947.17 |
Total Medical Medicare Standardized Payment Amount |
533225.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
533 |
Number Of Beneficiaries Age 65 to 74 |
1248 |
Number Of Beneficiaries Age 75 to 84 |
1042 |
Number Of Beneficiaries Age Greater 84 |
435 |
Number Of Female Beneficiaries |
1698 |
Number Of Male Beneficiaries |
1560 |
Number Of Non Hispanic White Beneficiaries |
2639 |
Number Of Black or African American Beneficiaries |
566 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
803 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4964 |