National Provider Identifier [NPI]: |
1356397103 |
Last Name Of The Provider |
CASEY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 ROBERT BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
70458 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
5909.5 |
Number Of Medicare Beneficiaries |
987 |
Total Submitted Charge Amount |
552620.75 |
Total Medicare Allowed Amount |
370056.09 |
Total Medicare Payment Amount |
268745.68 |
Total Medicare Standardized Payment Amount |
265377.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
395.5 |
Number Of Medicare Beneficiaries With Drug Services |
272 |
Total Drug Submitted ChargeAmount |
9615.25 |
Total Drug Medicare AllowedAmount |
5319.63 |
Total Drug Medicare PaymentAmount |
5176.58 |
Total Drug Medicare Standardized Payment Amount |
5176.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5514 |
Number Of Medicare Beneficiaries With Medical Services |
987 |
Total Medical Submitted Charge Amount |
543005.5 |
Total Medical Medicare Allowed Amount |
364736.46 |
Total Medical Medicare Payment Amount |
263569.1 |
Total Medical Medicare Standardized Payment Amount |
260201.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
878 |
Number Of Black or African American Beneficiaries |
76 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
797 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6201 |