National Provider Identifier [NPI]: |
1871784769 |
Last Name Of The Provider |
JARREAU |
First Name Of The Provider |
TARA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 HENNESSY BLVD |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708084300 |
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 |
84 |
Number Of Services |
4148 |
Number Of Medicare Beneficiaries |
1071 |
Total Submitted Charge Amount |
618951 |
Total Medicare Allowed Amount |
239637.32 |
Total Medicare Payment Amount |
176292.43 |
Total Medicare Standardized Payment Amount |
193289.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1219 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1550 |
Total Drug Medicare AllowedAmount |
339.11 |
Total Drug Medicare PaymentAmount |
249.65 |
Total Drug Medicare Standardized Payment Amount |
249.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
2929 |
Number Of Medicare Beneficiaries With Medical Services |
1071 |
Total Medical Submitted Charge Amount |
617401 |
Total Medical Medicare Allowed Amount |
239298.21 |
Total Medical Medicare Payment Amount |
176042.78 |
Total Medical Medicare Standardized Payment Amount |
193040.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
782 |
Number Of Black or African American Beneficiaries |
249 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
278 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5082 |