National Provider Identifier [NPI]: |
1316999881 |
Last Name Of The Provider |
JONES-BRASWELL |
First Name Of The Provider |
DEANA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7703 PICARDY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708084338 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
3651 |
Number Of Medicare Beneficiaries |
1635 |
Total Submitted Charge Amount |
374177 |
Total Medicare Allowed Amount |
86542.08 |
Total Medicare Payment Amount |
63436.08 |
Total Medicare Standardized Payment Amount |
66014.75 |
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 |
150 |
Number Of Medical Services |
3651 |
Number Of Medicare Beneficiaries With Medical Services |
1635 |
Total Medical Submitted Charge Amount |
374177 |
Total Medical Medicare Allowed Amount |
86542.08 |
Total Medical Medicare Payment Amount |
63436.08 |
Total Medical Medicare Standardized Payment Amount |
66014.75 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
412 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
949 |
Number Of Male Beneficiaries |
686 |
Number Of Non Hispanic White Beneficiaries |
1017 |
Number Of Black or African American Beneficiaries |
587 |
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 |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
653 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5575 |