National Provider Identifier [NPI]: |
1982610374 |
Last Name Of The Provider |
SCHEXNAIDER |
First Name Of The Provider |
KERRY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
207 MILTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAURICE |
Zip Code Of The Provider |
705554448 |
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 |
36 |
Number Of Services |
3765 |
Number Of Medicare Beneficiaries |
1001 |
Total Submitted Charge Amount |
362564 |
Total Medicare Allowed Amount |
238469.72 |
Total Medicare Payment Amount |
161889.6 |
Total Medicare Standardized Payment Amount |
174805.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
376 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
9075 |
Total Drug Medicare AllowedAmount |
2863.3 |
Total Drug Medicare PaymentAmount |
2506.79 |
Total Drug Medicare Standardized Payment Amount |
2506.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3389 |
Number Of Medicare Beneficiaries With Medical Services |
1001 |
Total Medical Submitted Charge Amount |
353489 |
Total Medical Medicare Allowed Amount |
235606.42 |
Total Medical Medicare Payment Amount |
159382.81 |
Total Medical Medicare Standardized Payment Amount |
172298.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
569 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
812 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3536 |