National Provider Identifier [NPI]: |
1053363515 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
EUARDO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3525 PRYTANIA ST. |
Street Address 2 Of The Provider |
SUITE 526 |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701153585 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
7129 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
676935 |
Total Medicare Allowed Amount |
350232.35 |
Total Medicare Payment Amount |
264367.07 |
Total Medicare Standardized Payment Amount |
270182.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2540 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
30530 |
Total Drug Medicare AllowedAmount |
20350.34 |
Total Drug Medicare PaymentAmount |
16084.56 |
Total Drug Medicare Standardized Payment Amount |
16084.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
4589 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
646405 |
Total Medical Medicare Allowed Amount |
329882.01 |
Total Medical Medicare Payment Amount |
248282.51 |
Total Medical Medicare Standardized Payment Amount |
254097.51 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
184 |
Number Of Black or African American Beneficiaries |
262 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.1186 |