National Provider Identifier [NPI]: |
1912079161 |
Last Name Of The Provider |
LEDUFF |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 N STATE ST |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392022000 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
13692 |
Number Of Medicare Beneficiaries |
1588 |
Total Submitted Charge Amount |
865256 |
Total Medicare Allowed Amount |
518366.71 |
Total Medicare Payment Amount |
395784.37 |
Total Medicare Standardized Payment Amount |
428339.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2425 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
5711 |
Total Drug Medicare AllowedAmount |
2712.64 |
Total Drug Medicare PaymentAmount |
2524.06 |
Total Drug Medicare Standardized Payment Amount |
2524.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
11267 |
Number Of Medicare Beneficiaries With Medical Services |
1588 |
Total Medical Submitted Charge Amount |
859545 |
Total Medical Medicare Allowed Amount |
515654.07 |
Total Medical Medicare Payment Amount |
393260.31 |
Total Medical Medicare Standardized Payment Amount |
425815.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
671 |
Number Of Beneficiaries Age 75 to 84 |
548 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
1126 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
1274 |
Number Of Black or African American Beneficiaries |
300 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.075 |