National Provider Identifier [NPI]: |
1194936849 |
Last Name Of The Provider |
HEARD |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9007 ELLERBE RD. |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
71106 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
19287 |
Number Of Medicare Beneficiaries |
3350 |
Total Submitted Charge Amount |
1288585.61 |
Total Medicare Allowed Amount |
730270.18 |
Total Medicare Payment Amount |
536777.87 |
Total Medicare Standardized Payment Amount |
535189.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
656 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
2798 |
Total Drug Medicare AllowedAmount |
1817.78 |
Total Drug Medicare PaymentAmount |
1238.94 |
Total Drug Medicare Standardized Payment Amount |
1238.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
18631 |
Number Of Medicare Beneficiaries With Medical Services |
3350 |
Total Medical Submitted Charge Amount |
1285787.61 |
Total Medical Medicare Allowed Amount |
728452.4 |
Total Medical Medicare Payment Amount |
535538.93 |
Total Medical Medicare Standardized Payment Amount |
533950.21 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
1527 |
Number Of Beneficiaries Age 75 to 84 |
1114 |
Number Of Beneficiaries Age Greater 84 |
502 |
Number Of Female Beneficiaries |
1662 |
Number Of Male Beneficiaries |
1688 |
Number Of Non Hispanic White Beneficiaries |
3113 |
Number Of Black or African American Beneficiaries |
185 |
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 |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
3078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0688 |