National Provider Identifier [NPI]: |
1548367147 |
Last Name Of The Provider |
ROBLES |
First Name Of The Provider |
HECTOR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 W ST MARY BLVD |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
70506 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5774 |
Number Of Medicare Beneficiaries |
785 |
Total Submitted Charge Amount |
743383 |
Total Medicare Allowed Amount |
335432.21 |
Total Medicare Payment Amount |
249053.83 |
Total Medicare Standardized Payment Amount |
269546.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
883 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
6805 |
Total Drug Medicare AllowedAmount |
2193.75 |
Total Drug Medicare PaymentAmount |
2124.08 |
Total Drug Medicare Standardized Payment Amount |
2124.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4891 |
Number Of Medicare Beneficiaries With Medical Services |
785 |
Total Medical Submitted Charge Amount |
736578 |
Total Medical Medicare Allowed Amount |
333238.46 |
Total Medical Medicare Payment Amount |
246929.75 |
Total Medical Medicare Standardized Payment Amount |
267422.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
578 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6841 |