National Provider Identifier [NPI]: |
1679595011 |
Last Name Of The Provider |
GRIER |
First Name Of The Provider |
LAURIE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 KINGS HWY |
Street Address 2 Of The Provider |
DEPARTMENT OF MEDICINE - PULMONARY CRITICAL CARE |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711034228 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1555 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
565826 |
Total Medicare Allowed Amount |
201661.29 |
Total Medicare Payment Amount |
156790.67 |
Total Medicare Standardized Payment Amount |
162247.26 |
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 |
31 |
Number Of Medical Services |
1555 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
565826 |
Total Medical Medicare Allowed Amount |
201661.29 |
Total Medical Medicare Payment Amount |
156790.67 |
Total Medical Medicare Standardized Payment Amount |
162247.26 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
237 |
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 |
162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.3843 |