National Provider Identifier [NPI]: |
1124241203 |
Last Name Of The Provider |
SILVERSTEIN |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 GAUSE BLVD. |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
70458 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5987 |
Number Of Medicare Beneficiaries |
2074 |
Total Submitted Charge Amount |
791888 |
Total Medicare Allowed Amount |
339374.39 |
Total Medicare Payment Amount |
251481.6 |
Total Medicare Standardized Payment Amount |
274178.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
350 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
33980 |
Total Drug Medicare AllowedAmount |
17881.45 |
Total Drug Medicare PaymentAmount |
12954.41 |
Total Drug Medicare Standardized Payment Amount |
12954.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5637 |
Number Of Medicare Beneficiaries With Medical Services |
2074 |
Total Medical Submitted Charge Amount |
757908 |
Total Medical Medicare Allowed Amount |
321492.94 |
Total Medical Medicare Payment Amount |
238527.19 |
Total Medical Medicare Standardized Payment Amount |
261223.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
475 |
Number Of Beneficiaries Age 65 to 74 |
730 |
Number Of Beneficiaries Age 75 to 84 |
519 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1206 |
Number Of Male Beneficiaries |
868 |
Number Of Non Hispanic White Beneficiaries |
1584 |
Number Of Black or African American Beneficiaries |
405 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1316 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
758 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3221 |