National Provider Identifier [NPI]: |
1255542528 |
Last Name Of The Provider |
RAU |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
705 DUNN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUMA |
Zip Code Of The Provider |
703604765 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
6723 |
Number Of Medicare Beneficiaries |
3609 |
Total Submitted Charge Amount |
671892.01 |
Total Medicare Allowed Amount |
177483.33 |
Total Medicare Payment Amount |
135809.09 |
Total Medicare Standardized Payment Amount |
141930.2 |
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 |
184 |
Number Of Medical Services |
6723 |
Number Of Medicare Beneficiaries With Medical Services |
3609 |
Total Medical Submitted Charge Amount |
671892.01 |
Total Medical Medicare Allowed Amount |
177483.33 |
Total Medical Medicare Payment Amount |
135809.09 |
Total Medical Medicare Standardized Payment Amount |
141930.2 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
842 |
Number Of Beneficiaries Age 65 to 74 |
1278 |
Number Of Beneficiaries Age 75 to 84 |
1017 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
2174 |
Number Of Male Beneficiaries |
1435 |
Number Of Non Hispanic White Beneficiaries |
2842 |
Number Of Black or African American Beneficiaries |
620 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
86 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1357 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6275 |