National Provider Identifier [NPI]: |
1548267529 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 DUNN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUMA |
Zip Code Of The Provider |
703604413 |
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 |
165 |
Number Of Services |
12880 |
Number Of Medicare Beneficiaries |
925 |
Total Submitted Charge Amount |
3592815 |
Total Medicare Allowed Amount |
705525.62 |
Total Medicare Payment Amount |
530576.77 |
Total Medicare Standardized Payment Amount |
571581.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1994 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
36635 |
Total Drug Medicare AllowedAmount |
14170.01 |
Total Drug Medicare PaymentAmount |
10772.81 |
Total Drug Medicare Standardized Payment Amount |
10772.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
10886 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
3556180 |
Total Medical Medicare Allowed Amount |
691355.61 |
Total Medical Medicare Payment Amount |
519803.96 |
Total Medical Medicare Standardized Payment Amount |
560808.57 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
387 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
782 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4212 |