National Provider Identifier [NPI]: |
1164409066 |
Last Name Of The Provider |
JOSLYN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4200 HOUMA BLVD |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700062970 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
2090 |
Number Of Medicare Beneficiaries |
1382 |
Total Submitted Charge Amount |
485787 |
Total Medicare Allowed Amount |
144437.73 |
Total Medicare Payment Amount |
109202.93 |
Total Medicare Standardized Payment Amount |
112130.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
2090 |
Number Of Medicare Beneficiaries With Medical Services |
1382 |
Total Medical Submitted Charge Amount |
485787 |
Total Medical Medicare Allowed Amount |
144437.73 |
Total Medical Medicare Payment Amount |
109202.93 |
Total Medical Medicare Standardized Payment Amount |
112130.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
475 |
Number Of Beneficiaries Age 75 to 84 |
406 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
799 |
Number Of Male Beneficiaries |
583 |
Number Of Non Hispanic White Beneficiaries |
1155 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.6507 |