National Provider Identifier [NPI]: |
1649267758 |
Last Name Of The Provider |
POTTS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
312 GRAMMONT ST |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
MONROE |
Zip Code Of The Provider |
712017457 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
4800 |
Number Of Medicare Beneficiaries |
903 |
Total Submitted Charge Amount |
487290 |
Total Medicare Allowed Amount |
275507.38 |
Total Medicare Payment Amount |
214401.08 |
Total Medicare Standardized Payment Amount |
217697.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
4800 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
487290 |
Total Medical Medicare Allowed Amount |
275507.38 |
Total Medical Medicare Payment Amount |
214401.08 |
Total Medical Medicare Standardized Payment Amount |
217697.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
741 |
Number Of Black or African American Beneficiaries |
|
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 |
644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.5092 |