National Provider Identifier [NPI]: |
1003133117 |
Last Name Of The Provider |
TREUIL |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7373 PERKINS RD |
Street Address 2 Of The Provider |
ATTN: CAMILLE/ADMINISTRATION |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708084326 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
2581 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
163926 |
Total Medicare Allowed Amount |
82907.96 |
Total Medicare Payment Amount |
63812.36 |
Total Medicare Standardized Payment Amount |
68454.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
7388 |
Total Drug Medicare AllowedAmount |
5106.49 |
Total Drug Medicare PaymentAmount |
4941.45 |
Total Drug Medicare Standardized Payment Amount |
4941.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2313 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
156538 |
Total Medical Medicare Allowed Amount |
77801.47 |
Total Medical Medicare Payment Amount |
58870.91 |
Total Medical Medicare Standardized Payment Amount |
63512.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
43 |
Number Of Non Hispanic White Beneficiaries |
212 |
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 |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0275 |