National Provider Identifier [NPI]: |
1407939259 |
Last Name Of The Provider |
WILKLOW |
First Name Of The Provider |
FRANK |
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 |
2820 CANAL ST |
Street Address 2 Of The Provider |
1ST FLOOR |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701196302 |
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 |
100 |
Number Of Services |
4439 |
Number Of Medicare Beneficiaries |
630 |
Total Submitted Charge Amount |
516358 |
Total Medicare Allowed Amount |
366350.41 |
Total Medicare Payment Amount |
279509.72 |
Total Medicare Standardized Payment Amount |
283392.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
8360 |
Total Drug Medicare AllowedAmount |
3659.71 |
Total Drug Medicare PaymentAmount |
2714.22 |
Total Drug Medicare Standardized Payment Amount |
2714.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
4363 |
Number Of Medicare Beneficiaries With Medical Services |
630 |
Total Medical Submitted Charge Amount |
507998 |
Total Medical Medicare Allowed Amount |
362690.7 |
Total Medical Medicare Payment Amount |
276795.5 |
Total Medical Medicare Standardized Payment Amount |
280677.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
332 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.6018 |