National Provider Identifier [NPI]: |
1437156429 |
Last Name Of The Provider |
FAIL |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 DUNN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUMA |
Zip Code Of The Provider |
703604413 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
48504 |
Number Of Medicare Beneficiaries |
2367 |
Total Submitted Charge Amount |
3645361 |
Total Medicare Allowed Amount |
865614.8 |
Total Medicare Payment Amount |
658268.44 |
Total Medicare Standardized Payment Amount |
704425.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
32604 |
Number Of Medicare Beneficiaries With Drug Services |
389 |
Total Drug Submitted ChargeAmount |
122150 |
Total Drug Medicare AllowedAmount |
30446.83 |
Total Drug Medicare PaymentAmount |
23500.61 |
Total Drug Medicare Standardized Payment Amount |
23500.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
15900 |
Number Of Medicare Beneficiaries With Medical Services |
2366 |
Total Medical Submitted Charge Amount |
3523211 |
Total Medical Medicare Allowed Amount |
835167.97 |
Total Medical Medicare Payment Amount |
634767.83 |
Total Medical Medicare Standardized Payment Amount |
680924.67 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
337 |
Number Of Beneficiaries Age 65 to 74 |
897 |
Number Of Beneficiaries Age 75 to 84 |
808 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
1107 |
Number Of Male Beneficiaries |
1260 |
Number Of Non Hispanic White Beneficiaries |
2028 |
Number Of Black or African American Beneficiaries |
264 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1816 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
551 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5264 |