National Provider Identifier [NPI]: |
1265428585 |
Last Name Of The Provider |
FEI |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. F.C.C.P. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4809 AMBASSADOR CAFFERY PKWY |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705088800 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4537 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
680653.77 |
Total Medicare Allowed Amount |
327935.33 |
Total Medicare Payment Amount |
250750.2 |
Total Medicare Standardized Payment Amount |
264067.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
733 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
17188.61 |
Total Drug Medicare AllowedAmount |
6098.53 |
Total Drug Medicare PaymentAmount |
5794.1 |
Total Drug Medicare Standardized Payment Amount |
5794.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3804 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
663465.16 |
Total Medical Medicare Allowed Amount |
321836.8 |
Total Medical Medicare Payment Amount |
244956.1 |
Total Medical Medicare Standardized Payment Amount |
258272.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
430 |
Number Of Non Hispanic White Beneficiaries |
841 |
Number Of Black or African American Beneficiaries |
165 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
773 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8176 |