National Provider Identifier [NPI]: |
1932379872 |
Last Name Of The Provider |
DUPLANTIS |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FOUCHER ST |
Street Address 2 Of The Provider |
STE 10012 |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701153515 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
8006 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
1796489 |
Total Medicare Allowed Amount |
528408.96 |
Total Medicare Payment Amount |
398643.84 |
Total Medicare Standardized Payment Amount |
408610.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
3189 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
55560 |
Total Drug Medicare AllowedAmount |
7043.64 |
Total Drug Medicare PaymentAmount |
5517.26 |
Total Drug Medicare Standardized Payment Amount |
5517.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4817 |
Number Of Medicare Beneficiaries With Medical Services |
560 |
Total Medical Submitted Charge Amount |
1740929 |
Total Medical Medicare Allowed Amount |
521365.32 |
Total Medical Medicare Payment Amount |
393126.58 |
Total Medical Medicare Standardized Payment Amount |
403093.17 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
372 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
332 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
402 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.488 |