Medicare Facts for Dr. John B. Wallis, MD


National Provider Identifier [NPI]: 1023004207
Last Name Of The Provider WALLIS
First Name Of The Provider JOHN
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4710 S CARROLLTON AVE
Street Address 2 Of The Provider
City Of The Provider NEW ORLEANS
Zip Code Of The Provider 70119
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 23
Number Of Services 321
Number Of Medicare Beneficiaries 32
Total Submitted Charge Amount 15005
Total Medicare Allowed Amount 10530.79
Total Medicare Payment Amount 7810.18
Total Medicare Standardized Payment Amount 8043.97
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 31
Number Of Medicare Beneficiaries With Drug Services 17
Total Drug Submitted ChargeAmount 570
Total Drug Medicare AllowedAmount 274.96
Total Drug Medicare PaymentAmount 261.06
Total Drug Medicare Standardized Payment Amount 261.06
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 290
Number Of Medicare Beneficiaries With Medical Services 32
Total Medical Submitted Charge Amount 14435
Total Medical Medicare Allowed Amount 10255.83
Total Medical Medicare Payment Amount 7549.12
Total Medical Medicare Standardized Payment Amount 7782.91
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 16
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 20
Number Of Male Beneficiaries 12
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 17
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 15
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 47
Percent Of With Diabetes 59
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.9841

Doctor Directory | TOS | twitter | FB | Angel | blog