National Provider Identifier [NPI]: |
1235349812 |
Last Name Of The Provider |
HARRIS |
First Name Of The Provider |
MEGHAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1455 E BERT KOUNS LOOP |
Street Address 2 Of The Provider |
SUITE # 109 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711055634 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
18061 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
992026.8 |
Total Medicare Allowed Amount |
335151.47 |
Total Medicare Payment Amount |
247711.25 |
Total Medicare Standardized Payment Amount |
267801.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
14865 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
137428 |
Total Drug Medicare AllowedAmount |
74120.02 |
Total Drug Medicare PaymentAmount |
55697.04 |
Total Drug Medicare Standardized Payment Amount |
55697.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3196 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
854598.8 |
Total Medical Medicare Allowed Amount |
261031.45 |
Total Medical Medicare Payment Amount |
192014.21 |
Total Medical Medicare Standardized Payment Amount |
212104.36 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
583 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
789 |
Number Of Black or African American Beneficiaries |
122 |
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 |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.3244 |