National Provider Identifier [NPI]: |
1609894724 |
Last Name Of The Provider |
SALVAGGIO |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2730 AMBASSADOR CAFFERY PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705065939 |
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 |
157 |
Number Of Services |
12468 |
Number Of Medicare Beneficiaries |
2237 |
Total Submitted Charge Amount |
2497016.78 |
Total Medicare Allowed Amount |
633072.03 |
Total Medicare Payment Amount |
483969.27 |
Total Medicare Standardized Payment Amount |
518006.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3544 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
52025 |
Total Drug Medicare AllowedAmount |
19577.18 |
Total Drug Medicare PaymentAmount |
15217.62 |
Total Drug Medicare Standardized Payment Amount |
15217.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
8924 |
Number Of Medicare Beneficiaries With Medical Services |
2233 |
Total Medical Submitted Charge Amount |
2444991.78 |
Total Medical Medicare Allowed Amount |
613494.85 |
Total Medical Medicare Payment Amount |
468751.65 |
Total Medical Medicare Standardized Payment Amount |
502789.13 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
471 |
Number Of Beneficiaries Age 65 to 74 |
820 |
Number Of Beneficiaries Age 75 to 84 |
668 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
1189 |
Number Of Male Beneficiaries |
1048 |
Number Of Non Hispanic White Beneficiaries |
1620 |
Number Of Black or African American Beneficiaries |
545 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
771 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8368 |