National Provider Identifier [NPI]: |
1881699353 |
Last Name Of The Provider |
CASH |
First Name Of The Provider |
MARION |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8383 MILLICENT WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711155207 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
6804 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
398461 |
Total Medicare Allowed Amount |
166646.22 |
Total Medicare Payment Amount |
124548 |
Total Medicare Standardized Payment Amount |
130950.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2115 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
39118 |
Total Drug Medicare AllowedAmount |
32643.77 |
Total Drug Medicare PaymentAmount |
26631.54 |
Total Drug Medicare Standardized Payment Amount |
26631.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4689 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
359343 |
Total Medical Medicare Allowed Amount |
134002.45 |
Total Medical Medicare Payment Amount |
97916.46 |
Total Medical Medicare Standardized Payment Amount |
104318.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
293 |
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 |
310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8299 |