National Provider Identifier [NPI]: |
1366475493 |
Last Name Of The Provider |
ELKERSH |
First Name Of The Provider |
MOHAMED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42131 VETERANS AVE |
Street Address 2 Of The Provider |
STE. 100 |
City Of The Provider |
HAMMOND |
Zip Code Of The Provider |
704031428 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
3934 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
1079551.38 |
Total Medicare Allowed Amount |
309193.05 |
Total Medicare Payment Amount |
235060.87 |
Total Medicare Standardized Payment Amount |
245175.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
756 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
23407.38 |
Total Drug Medicare AllowedAmount |
3972.44 |
Total Drug Medicare PaymentAmount |
3088.47 |
Total Drug Medicare Standardized Payment Amount |
3088.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3178 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
1056144 |
Total Medical Medicare Allowed Amount |
305220.61 |
Total Medical Medicare Payment Amount |
231972.4 |
Total Medical Medicare Standardized Payment Amount |
242087.28 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7511 |