National Provider Identifier [NPI]: |
1073584108 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4809 AMBASSADOR CAFFERY PKWY |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705088800 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
152305 |
Number Of Medicare Beneficiaries |
1160 |
Total Submitted Charge Amount |
7508020.5 |
Total Medicare Allowed Amount |
2874673.01 |
Total Medicare Payment Amount |
2170610.08 |
Total Medicare Standardized Payment Amount |
2185580.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
140023 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
6278181.5 |
Total Drug Medicare AllowedAmount |
2386039.86 |
Total Drug Medicare PaymentAmount |
1798436.81 |
Total Drug Medicare Standardized Payment Amount |
1798436.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
12282 |
Number Of Medicare Beneficiaries With Medical Services |
1160 |
Total Medical Submitted Charge Amount |
1229839 |
Total Medical Medicare Allowed Amount |
488633.15 |
Total Medical Medicare Payment Amount |
372173.27 |
Total Medical Medicare Standardized Payment Amount |
387143.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
707 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
272 |
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 |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
320 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7953 |