National Provider Identifier [NPI]: |
1245237221 |
Last Name Of The Provider |
LADD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
R |
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 |
108 |
Number Of Services |
23190 |
Number Of Medicare Beneficiaries |
2918 |
Total Submitted Charge Amount |
4353062 |
Total Medicare Allowed Amount |
1117894.52 |
Total Medicare Payment Amount |
860770.31 |
Total Medicare Standardized Payment Amount |
940207.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2623 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
143330 |
Total Drug Medicare AllowedAmount |
59842.55 |
Total Drug Medicare PaymentAmount |
46138.08 |
Total Drug Medicare Standardized Payment Amount |
46138.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
20567 |
Number Of Medicare Beneficiaries With Medical Services |
2916 |
Total Medical Submitted Charge Amount |
4209732 |
Total Medical Medicare Allowed Amount |
1058051.97 |
Total Medical Medicare Payment Amount |
814632.23 |
Total Medical Medicare Standardized Payment Amount |
894069.14 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
470 |
Number Of Beneficiaries Age 65 to 74 |
1168 |
Number Of Beneficiaries Age 75 to 84 |
929 |
Number Of Beneficiaries Age Greater 84 |
351 |
Number Of Female Beneficiaries |
1439 |
Number Of Male Beneficiaries |
1479 |
Number Of Non Hispanic White Beneficiaries |
2492 |
Number Of Black or African American Beneficiaries |
327 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
728 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4552 |