National Provider Identifier [NPI]: |
1891787784 |
Last Name Of The Provider |
VALENTINO |
First Name Of The Provider |
VERNON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 AMBASSADOR CAFFERY PKWY |
Street Address 2 Of The Provider |
BUILDING 1, SUITE 100 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705086984 |
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 |
87 |
Number Of Services |
5663 |
Number Of Medicare Beneficiaries |
1249 |
Total Submitted Charge Amount |
1700423 |
Total Medicare Allowed Amount |
568755.53 |
Total Medicare Payment Amount |
430038.37 |
Total Medicare Standardized Payment Amount |
465597.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
575 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
76500 |
Total Drug Medicare AllowedAmount |
30443.75 |
Total Drug Medicare PaymentAmount |
23647.48 |
Total Drug Medicare Standardized Payment Amount |
23647.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
5088 |
Number Of Medicare Beneficiaries With Medical Services |
1249 |
Total Medical Submitted Charge Amount |
1623923 |
Total Medical Medicare Allowed Amount |
538311.78 |
Total Medical Medicare Payment Amount |
406390.89 |
Total Medical Medicare Standardized Payment Amount |
441950.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
644 |
Number Of Male Beneficiaries |
605 |
Number Of Non Hispanic White Beneficiaries |
1085 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1038 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3567 |