National Provider Identifier [NPI]: |
1528064441 |
Last Name Of The Provider |
WEIR |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
136 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705032819 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
13985 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
668936.5 |
Total Medicare Allowed Amount |
268965.18 |
Total Medicare Payment Amount |
207708.91 |
Total Medicare Standardized Payment Amount |
203041.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11951 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
108187.5 |
Total Drug Medicare AllowedAmount |
65206.01 |
Total Drug Medicare PaymentAmount |
50327.65 |
Total Drug Medicare Standardized Payment Amount |
50327.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2034 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
560749 |
Total Medical Medicare Allowed Amount |
203759.17 |
Total Medical Medicare Payment Amount |
157381.26 |
Total Medical Medicare Standardized Payment Amount |
152713.98 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
365 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
106 |
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 |
444 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3212 |