Medicare Facts for Dr. William T. Cefalu, MD


National Provider Identifier [NPI]: 1780908780
Last Name Of The Provider CEFALU
First Name Of The Provider WILLIAM
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1151 MARGUERITE STREET
Street Address 2 Of The Provider SUITE 200A
City Of The Provider MORGAN CITY
Zip Code Of The Provider 703801882
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 1455
Number Of Medicare Beneficiaries 366
Total Submitted Charge Amount 217593
Total Medicare Allowed Amount 121968.49
Total Medicare Payment Amount 91347.07
Total Medicare Standardized Payment Amount 95856.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 167
Number Of Medicare Beneficiaries With Drug Services 89
Total Drug Submitted ChargeAmount 5095
Total Drug Medicare AllowedAmount 1175.11
Total Drug Medicare PaymentAmount 1138.6
Total Drug Medicare Standardized Payment Amount 1138.6
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 1288
Number Of Medicare Beneficiaries With Medical Services 366
Total Medical Submitted Charge Amount 212498
Total Medical Medicare Allowed Amount 120793.38
Total Medical Medicare Payment Amount 90208.47
Total Medical Medicare Standardized Payment Amount 94717.93
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 93
Number Of Beneficiaries Age 65 to 74 127
Number Of Beneficiaries Age 75 to 84 96
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 207
Number Of Male Beneficiaries 159
Number Of Non Hispanic White Beneficiaries 298
Number Of Black or African American Beneficiaries 49
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 228
Number Of Beneficiaries With Medicare Medicaid Entitlement 138
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 33
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.5786

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