National Provider Identifier [NPI]: |
1033161567 |
Last Name Of The Provider |
PEARCE |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 HENNESSY BLVD |
Street Address 2 Of The Provider |
SUITE 4000 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
70808 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2285 |
Number Of Medicare Beneficiaries |
1086 |
Total Submitted Charge Amount |
597110 |
Total Medicare Allowed Amount |
293036.81 |
Total Medicare Payment Amount |
205677.68 |
Total Medicare Standardized Payment Amount |
224474.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2285 |
Number Of Medicare Beneficiaries With Medical Services |
1086 |
Total Medical Submitted Charge Amount |
597110 |
Total Medical Medicare Allowed Amount |
293036.81 |
Total Medical Medicare Payment Amount |
205677.68 |
Total Medical Medicare Standardized Payment Amount |
224474.76 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
396 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
680 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
947 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0074 |