National Provider Identifier [NPI]: |
1679522932 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8080 BLUEBONNET BLVD |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708107827 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
2049 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
587773 |
Total Medicare Allowed Amount |
168252.97 |
Total Medicare Payment Amount |
124844.97 |
Total Medicare Standardized Payment Amount |
133518.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
523 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
17911 |
Total Drug Medicare AllowedAmount |
8334.49 |
Total Drug Medicare PaymentAmount |
6232.38 |
Total Drug Medicare Standardized Payment Amount |
6232.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
1526 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
569862 |
Total Medical Medicare Allowed Amount |
159918.48 |
Total Medical Medicare Payment Amount |
118612.59 |
Total Medical Medicare Standardized Payment Amount |
127286.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
264 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2404 |