Medicare Facts for Dr. Joseph M. Cefalu, MD


National Provider Identifier [NPI]: 1881695088
Last Name Of The Provider CEFALU
First Name Of The Provider JOSEPH
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5231 BRITTANY DR
Street Address 2 Of The Provider
City Of The Provider BATON ROUGE
Zip Code Of The Provider 708089143
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 51
Number Of Services 14684
Number Of Medicare Beneficiaries 1747
Total Submitted Charge Amount 875199.88
Total Medicare Allowed Amount 289202.65
Total Medicare Payment Amount 215192.76
Total Medicare Standardized Payment Amount 234511.75
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 11388
Number Of Medicare Beneficiaries With Drug Services 131
Total Drug Submitted ChargeAmount 42760
Total Drug Medicare AllowedAmount 13811.15
Total Drug Medicare PaymentAmount 10418.82
Total Drug Medicare Standardized Payment Amount 10418.82
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 3296
Number Of Medicare Beneficiaries With Medical Services 1746
Total Medical Submitted Charge Amount 832439.88
Total Medical Medicare Allowed Amount 275391.5
Total Medical Medicare Payment Amount 204773.94
Total Medical Medicare Standardized Payment Amount 224092.93
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 413
Number Of Beneficiaries Age 65 to 74 613
Number Of Beneficiaries Age 75 to 84 476
Number Of Beneficiaries Age Greater 84 245
Number Of Female Beneficiaries 942
Number Of Male Beneficiaries 805
Number Of Non Hispanic White Beneficiaries 1073
Number Of Black or African American Beneficiaries 623
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 25
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1080
Number Of Beneficiaries With Medicare Medicaid Entitlement 667
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 37
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 32
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 56
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.1116

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