National Provider Identifier [NPI]: |
1265480503 |
Last Name Of The Provider |
ELDREDGE |
First Name Of The Provider |
BRYTTON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
185 S BEADLE RD |
Street Address 2 Of The Provider |
BLDG 2 STE B |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705084287 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
1068 |
Number Of Medicare Beneficiaries |
275 |
Total Submitted Charge Amount |
206528.5 |
Total Medicare Allowed Amount |
80514.71 |
Total Medicare Payment Amount |
57480.92 |
Total Medicare Standardized Payment Amount |
63760.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
157.5 |
Total Drug Medicare AllowedAmount |
24.38 |
Total Drug Medicare PaymentAmount |
21.46 |
Total Drug Medicare Standardized Payment Amount |
21.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
1012 |
Number Of Medicare Beneficiaries With Medical Services |
275 |
Total Medical Submitted Charge Amount |
206371 |
Total Medical Medicare Allowed Amount |
80490.33 |
Total Medical Medicare Payment Amount |
57459.46 |
Total Medical Medicare Standardized Payment Amount |
63738.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0412 |