National Provider Identifier [NPI]: |
1902898885 |
Last Name Of The Provider |
GUIDRY |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
155 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 206 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705032852 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2761 |
Number Of Medicare Beneficiaries |
997 |
Total Submitted Charge Amount |
307330 |
Total Medicare Allowed Amount |
265515.64 |
Total Medicare Payment Amount |
203064.38 |
Total Medicare Standardized Payment Amount |
215751.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
1769 |
Total Drug Medicare AllowedAmount |
1318.62 |
Total Drug Medicare PaymentAmount |
1251.28 |
Total Drug Medicare Standardized Payment Amount |
1251.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2694 |
Number Of Medicare Beneficiaries With Medical Services |
997 |
Total Medical Submitted Charge Amount |
305561 |
Total Medical Medicare Allowed Amount |
264197.02 |
Total Medical Medicare Payment Amount |
201813.1 |
Total Medical Medicare Standardized Payment Amount |
214499.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
472 |
Number Of Non Hispanic White Beneficiaries |
809 |
Number Of Black or African American Beneficiaries |
162 |
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 |
722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0317 |