National Provider Identifier [NPI]: |
1811947575 |
Last Name Of The Provider |
MCNALLY |
First Name Of The Provider |
MARIO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3525 PRYTANIA ST. |
Street Address 2 Of The Provider |
SUITE 526 |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701153585 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4037 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
363968 |
Total Medicare Allowed Amount |
183809.55 |
Total Medicare Payment Amount |
140366.5 |
Total Medicare Standardized Payment Amount |
143852.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
238 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
9182 |
Total Drug Medicare AllowedAmount |
4980.47 |
Total Drug Medicare PaymentAmount |
4166.07 |
Total Drug Medicare Standardized Payment Amount |
4166.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3799 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
354786 |
Total Medical Medicare Allowed Amount |
178829.08 |
Total Medical Medicare Payment Amount |
136200.43 |
Total Medical Medicare Standardized Payment Amount |
139686.34 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
165 |
Number Of Black or African American Beneficiaries |
190 |
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 |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7933 |