National Provider Identifier [NPI]: |
1679552715 |
Last Name Of The Provider |
LAFAYE |
First Name Of The Provider |
HADEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 SCHOOL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUMA |
Zip Code Of The Provider |
703604630 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5357 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
1199653.8 |
Total Medicare Allowed Amount |
446756.22 |
Total Medicare Payment Amount |
335497.39 |
Total Medicare Standardized Payment Amount |
358178.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
414 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
97768.8 |
Total Drug Medicare AllowedAmount |
84306.35 |
Total Drug Medicare PaymentAmount |
64018.7 |
Total Drug Medicare Standardized Payment Amount |
64018.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
4943 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
1101885 |
Total Medical Medicare Allowed Amount |
362449.87 |
Total Medical Medicare Payment Amount |
271478.69 |
Total Medical Medicare Standardized Payment Amount |
294159.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
636 |
Number Of Non Hispanic White Beneficiaries |
806 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2864 |