National Provider Identifier [NPI]: |
1700883758 |
Last Name Of The Provider |
MCELDERRY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
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 |
705065904 |
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 |
170 |
Number Of Services |
21872 |
Number Of Medicare Beneficiaries |
2365 |
Total Submitted Charge Amount |
4225990.02 |
Total Medicare Allowed Amount |
1000942.14 |
Total Medicare Payment Amount |
757802.4 |
Total Medicare Standardized Payment Amount |
819883.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
8082 |
Number Of Medicare Beneficiaries With Drug Services |
364 |
Total Drug Submitted ChargeAmount |
163015 |
Total Drug Medicare AllowedAmount |
64010.05 |
Total Drug Medicare PaymentAmount |
49810.96 |
Total Drug Medicare Standardized Payment Amount |
49810.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
13790 |
Number Of Medicare Beneficiaries With Medical Services |
2360 |
Total Medical Submitted Charge Amount |
4062975.02 |
Total Medical Medicare Allowed Amount |
936932.09 |
Total Medical Medicare Payment Amount |
707991.44 |
Total Medical Medicare Standardized Payment Amount |
770072.54 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
486 |
Number Of Beneficiaries Age 65 to 74 |
859 |
Number Of Beneficiaries Age 75 to 84 |
730 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
1260 |
Number Of Male Beneficiaries |
1105 |
Number Of Non Hispanic White Beneficiaries |
1707 |
Number Of Black or African American Beneficiaries |
586 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
815 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6545 |