National Provider Identifier [NPI]: |
1750388740 |
Last Name Of The Provider |
ABBEN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
P |
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 |
172 |
Number Of Services |
23637 |
Number Of Medicare Beneficiaries |
3063 |
Total Submitted Charge Amount |
3817884.51 |
Total Medicare Allowed Amount |
1044591.51 |
Total Medicare Payment Amount |
777774.5 |
Total Medicare Standardized Payment Amount |
833558.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1846 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
64050 |
Total Drug Medicare AllowedAmount |
26142.24 |
Total Drug Medicare PaymentAmount |
19631.71 |
Total Drug Medicare Standardized Payment Amount |
19631.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
21791 |
Number Of Medicare Beneficiaries With Medical Services |
3061 |
Total Medical Submitted Charge Amount |
3753834.51 |
Total Medical Medicare Allowed Amount |
1018449.27 |
Total Medical Medicare Payment Amount |
758142.79 |
Total Medical Medicare Standardized Payment Amount |
813926.36 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
1085 |
Number Of Beneficiaries Age 75 to 84 |
1089 |
Number Of Beneficiaries Age Greater 84 |
594 |
Number Of Female Beneficiaries |
1413 |
Number Of Male Beneficiaries |
1650 |
Number Of Non Hispanic White Beneficiaries |
2649 |
Number Of Black or African American Beneficiaries |
350 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
2420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
643 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5493 |