National Provider Identifier [NPI]: |
1669433322 |
Last Name Of The Provider |
LARCA |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15215 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503235 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2805 |
Number Of Medicare Beneficiaries |
977 |
Total Submitted Charge Amount |
950267.16 |
Total Medicare Allowed Amount |
356213.68 |
Total Medicare Payment Amount |
267340.22 |
Total Medicare Standardized Payment Amount |
238191.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
180 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
17465.2 |
Total Drug Medicare AllowedAmount |
9539.02 |
Total Drug Medicare PaymentAmount |
7312.01 |
Total Drug Medicare Standardized Payment Amount |
7312.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2625 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
932801.96 |
Total Medical Medicare Allowed Amount |
346674.66 |
Total Medical Medicare Payment Amount |
260028.21 |
Total Medical Medicare Standardized Payment Amount |
230879.39 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
470 |
Number Of Non Hispanic White Beneficiaries |
492 |
Number Of Black or African American Beneficiaries |
293 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7609 |