National Provider Identifier [NPI]: |
1326040858 |
Last Name Of The Provider |
BAROOTES |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1525 OAK PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CHARLES |
Zip Code Of The Provider |
706018849 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1749 |
Number Of Medicare Beneficiaries |
526 |
Total Submitted Charge Amount |
166273.92 |
Total Medicare Allowed Amount |
109936.31 |
Total Medicare Payment Amount |
78884.09 |
Total Medicare Standardized Payment Amount |
84157.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
2457 |
Total Drug Medicare AllowedAmount |
1572.85 |
Total Drug Medicare PaymentAmount |
1498.3 |
Total Drug Medicare Standardized Payment Amount |
1498.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1672 |
Number Of Medicare Beneficiaries With Medical Services |
526 |
Total Medical Submitted Charge Amount |
163816.92 |
Total Medical Medicare Allowed Amount |
108363.46 |
Total Medical Medicare Payment Amount |
77385.79 |
Total Medical Medicare Standardized Payment Amount |
82659.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
372 |
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 |
314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5603 |