National Provider Identifier [NPI]: |
1558460261 |
Last Name Of The Provider |
DEFRANCESCH |
First Name Of The Provider |
FRED |
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 |
2840 W AIRLINE HWY |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LA PLACE |
Zip Code Of The Provider |
700682951 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5649 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
1370502.78 |
Total Medicare Allowed Amount |
415693.53 |
Total Medicare Payment Amount |
317488.81 |
Total Medicare Standardized Payment Amount |
326720.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1872 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
37934.78 |
Total Drug Medicare AllowedAmount |
5026.45 |
Total Drug Medicare PaymentAmount |
3935.04 |
Total Drug Medicare Standardized Payment Amount |
3935.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3777 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
1332568 |
Total Medical Medicare Allowed Amount |
410667.08 |
Total Medical Medicare Payment Amount |
313553.77 |
Total Medical Medicare Standardized Payment Amount |
322785.14 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
301 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
321 |
Number Of Black or African American Beneficiaries |
143 |
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 |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5042 |