National Provider Identifier [NPI]: |
1235139833 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
JED |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 NORTH BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708063743 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2355 |
Number Of Medicare Beneficiaries |
211 |
Total Submitted Charge Amount |
324103.21 |
Total Medicare Allowed Amount |
127558.63 |
Total Medicare Payment Amount |
91798.79 |
Total Medicare Standardized Payment Amount |
99022.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1253 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
81051.21 |
Total Drug Medicare AllowedAmount |
30437.67 |
Total Drug Medicare PaymentAmount |
22559.21 |
Total Drug Medicare Standardized Payment Amount |
22559.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1102 |
Number Of Medicare Beneficiaries With Medical Services |
211 |
Total Medical Submitted Charge Amount |
243052 |
Total Medical Medicare Allowed Amount |
97120.96 |
Total Medical Medicare Payment Amount |
69239.58 |
Total Medical Medicare Standardized Payment Amount |
76462.92 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
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 |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5574 |