National Provider Identifier [NPI]: |
1003852567 |
Last Name Of The Provider |
LAMARCHE |
First Name Of The Provider |
MAXIMO |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 W SAINT MARY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705064638 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
7507 |
Number Of Medicare Beneficiaries |
744 |
Total Submitted Charge Amount |
1183277 |
Total Medicare Allowed Amount |
434975.91 |
Total Medicare Payment Amount |
333458.71 |
Total Medicare Standardized Payment Amount |
350687.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
715 |
Total Drug Medicare AllowedAmount |
150.41 |
Total Drug Medicare PaymentAmount |
140.56 |
Total Drug Medicare Standardized Payment Amount |
140.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
7485 |
Number Of Medicare Beneficiaries With Medical Services |
744 |
Total Medical Submitted Charge Amount |
1182562 |
Total Medical Medicare Allowed Amount |
434825.5 |
Total Medical Medicare Payment Amount |
333318.15 |
Total Medical Medicare Standardized Payment Amount |
350546.72 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
190 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
421 |
Number Of Black or African American Beneficiaries |
300 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
342 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
4.2997 |