National Provider Identifier [NPI]: |
1558362004 |
Last Name Of The Provider |
SOLON |
First Name Of The Provider |
AGNES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 4TH ST |
Street Address 2 Of The Provider |
STE 1A |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713018421 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
17698 |
Number Of Medicare Beneficiaries |
808 |
Total Submitted Charge Amount |
990027.2 |
Total Medicare Allowed Amount |
338300.04 |
Total Medicare Payment Amount |
252767.7 |
Total Medicare Standardized Payment Amount |
261948.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
15352 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
481952.2 |
Total Drug Medicare AllowedAmount |
148885.53 |
Total Drug Medicare PaymentAmount |
115555.32 |
Total Drug Medicare Standardized Payment Amount |
115555.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2346 |
Number Of Medicare Beneficiaries With Medical Services |
808 |
Total Medical Submitted Charge Amount |
508075 |
Total Medical Medicare Allowed Amount |
189414.51 |
Total Medical Medicare Payment Amount |
137212.38 |
Total Medical Medicare Standardized Payment Amount |
146393.07 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
637 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
38 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2323 |