National Provider Identifier [NPI]: |
1497714133 |
Last Name Of The Provider |
CRUZ |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3434 PRYTANIA ST |
Street Address 2 Of The Provider |
SUITE #300 |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701153532 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
1669 |
Number Of Medicare Beneficiaries |
292 |
Total Submitted Charge Amount |
359643 |
Total Medicare Allowed Amount |
218141.6 |
Total Medicare Payment Amount |
165647.96 |
Total Medicare Standardized Payment Amount |
165958.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
745 |
Total Drug Medicare AllowedAmount |
406.85 |
Total Drug Medicare PaymentAmount |
397.67 |
Total Drug Medicare Standardized Payment Amount |
397.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1646 |
Number Of Medicare Beneficiaries With Medical Services |
292 |
Total Medical Submitted Charge Amount |
358898 |
Total Medical Medicare Allowed Amount |
217734.75 |
Total Medical Medicare Payment Amount |
165250.29 |
Total Medical Medicare Standardized Payment Amount |
165560.9 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
184 |
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 |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.6327 |