National Provider Identifier [NPI]: |
1790765394 |
Last Name Of The Provider |
SILVA |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2750 EAST GAUSE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
704614149 |
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 |
135 |
Number Of Services |
3042 |
Number Of Medicare Beneficiaries |
869 |
Total Submitted Charge Amount |
1973311 |
Total Medicare Allowed Amount |
268217.1 |
Total Medicare Payment Amount |
204031.25 |
Total Medicare Standardized Payment Amount |
210943.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
3042 |
Number Of Medicare Beneficiaries With Medical Services |
869 |
Total Medical Submitted Charge Amount |
1973311 |
Total Medical Medicare Allowed Amount |
268217.1 |
Total Medical Medicare Payment Amount |
204031.25 |
Total Medical Medicare Standardized Payment Amount |
210943.77 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
371 |
Number Of Non Hispanic White Beneficiaries |
674 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
619 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0963 |