National Provider Identifier [NPI]: |
1205838182 |
Last Name Of The Provider |
KOWALSKI |
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 |
315 RUE LOUIS XIV |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705085734 |
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 |
64 |
Number Of Services |
9571 |
Number Of Medicare Beneficiaries |
2948 |
Total Submitted Charge Amount |
3635847 |
Total Medicare Allowed Amount |
1252746.74 |
Total Medicare Payment Amount |
934577.5 |
Total Medicare Standardized Payment Amount |
974019.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1184 |
Number Of Medicare Beneficiaries With Drug Services |
295 |
Total Drug Submitted ChargeAmount |
130240 |
Total Drug Medicare AllowedAmount |
62695.92 |
Total Drug Medicare PaymentAmount |
47742.6 |
Total Drug Medicare Standardized Payment Amount |
47742.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
8387 |
Number Of Medicare Beneficiaries With Medical Services |
2948 |
Total Medical Submitted Charge Amount |
3505607 |
Total Medical Medicare Allowed Amount |
1190050.82 |
Total Medical Medicare Payment Amount |
886834.9 |
Total Medical Medicare Standardized Payment Amount |
926277.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
358 |
Number Of Beneficiaries Age 65 to 74 |
1246 |
Number Of Beneficiaries Age 75 to 84 |
927 |
Number Of Beneficiaries Age Greater 84 |
417 |
Number Of Female Beneficiaries |
1564 |
Number Of Male Beneficiaries |
1384 |
Number Of Non Hispanic White Beneficiaries |
2363 |
Number Of Black or African American Beneficiaries |
489 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
725 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5629 |