National Provider Identifier [NPI]: |
1700874443 |
Last Name Of The Provider |
ROCHON |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 AMBASSADOR CAFFERY PKWY |
Street Address 2 Of The Provider |
BLDG #1 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
70508 |
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 |
86 |
Number Of Services |
4445 |
Number Of Medicare Beneficiaries |
1618 |
Total Submitted Charge Amount |
1154738 |
Total Medicare Allowed Amount |
390137.48 |
Total Medicare Payment Amount |
293579.3 |
Total Medicare Standardized Payment Amount |
314191.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
257 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
33410 |
Total Drug Medicare AllowedAmount |
13617.55 |
Total Drug Medicare PaymentAmount |
10095.36 |
Total Drug Medicare Standardized Payment Amount |
10095.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4188 |
Number Of Medicare Beneficiaries With Medical Services |
1618 |
Total Medical Submitted Charge Amount |
1121328 |
Total Medical Medicare Allowed Amount |
376519.93 |
Total Medical Medicare Payment Amount |
283483.94 |
Total Medical Medicare Standardized Payment Amount |
304095.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
564 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
285 |
Number Of Female Beneficiaries |
891 |
Number Of Male Beneficiaries |
727 |
Number Of Non Hispanic White Beneficiaries |
1108 |
Number Of Black or African American Beneficiaries |
454 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1062 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7543 |