National Provider Identifier [NPI]: |
1881695302 |
Last Name Of The Provider |
LAVERGNE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17350 ST LUKES WAY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
773844100 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
8699 |
Number Of Medicare Beneficiaries |
1630 |
Total Submitted Charge Amount |
2040391 |
Total Medicare Allowed Amount |
665774.14 |
Total Medicare Payment Amount |
491794.65 |
Total Medicare Standardized Payment Amount |
516189.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3641 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
46860 |
Total Drug Medicare AllowedAmount |
11606.89 |
Total Drug Medicare PaymentAmount |
8736.18 |
Total Drug Medicare Standardized Payment Amount |
8736.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5058 |
Number Of Medicare Beneficiaries With Medical Services |
1630 |
Total Medical Submitted Charge Amount |
1993531 |
Total Medical Medicare Allowed Amount |
654167.25 |
Total Medical Medicare Payment Amount |
483058.47 |
Total Medical Medicare Standardized Payment Amount |
507453.48 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
696 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
261 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
767 |
Number Of Non Hispanic White Beneficiaries |
1398 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7433 |