National Provider Identifier [NPI]: |
1578523999 |
Last Name Of The Provider |
LAUGHTON |
First Name Of The Provider |
PIERRE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
408 GLENWOOD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLEN ROSE |
Zip Code Of The Provider |
760434932 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
479 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
75171 |
Total Medicare Allowed Amount |
36510.9 |
Total Medicare Payment Amount |
28027.38 |
Total Medicare Standardized Payment Amount |
29288 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
947 |
Total Drug Medicare AllowedAmount |
366.81 |
Total Drug Medicare PaymentAmount |
351.3 |
Total Drug Medicare Standardized Payment Amount |
351.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
419 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
74224 |
Total Medical Medicare Allowed Amount |
36144.09 |
Total Medical Medicare Payment Amount |
27676.08 |
Total Medical Medicare Standardized Payment Amount |
28936.7 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
117 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3337 |