National Provider Identifier [NPI]: |
1780697227 |
Last Name Of The Provider |
CALHOUN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 OLD STERLINGTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONROE |
Zip Code Of The Provider |
712032396 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3622 |
Number Of Medicare Beneficiaries |
300 |
Total Submitted Charge Amount |
139925 |
Total Medicare Allowed Amount |
113653.42 |
Total Medicare Payment Amount |
81886.65 |
Total Medicare Standardized Payment Amount |
90682.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1832 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
17333 |
Total Drug Medicare AllowedAmount |
7413.66 |
Total Drug Medicare PaymentAmount |
6652.56 |
Total Drug Medicare Standardized Payment Amount |
6652.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1790 |
Number Of Medicare Beneficiaries With Medical Services |
300 |
Total Medical Submitted Charge Amount |
122592 |
Total Medical Medicare Allowed Amount |
106239.76 |
Total Medical Medicare Payment Amount |
75234.09 |
Total Medical Medicare Standardized Payment Amount |
84030.39 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8968 |