National Provider Identifier [NPI]: |
1093715591 |
Last Name Of The Provider |
KRAUSE |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1453 E BERT KOUN LOOP |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711056800 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
4232 |
Number Of Medicare Beneficiaries |
1180 |
Total Submitted Charge Amount |
1345067.5 |
Total Medicare Allowed Amount |
463250.2 |
Total Medicare Payment Amount |
349508.75 |
Total Medicare Standardized Payment Amount |
369264.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
284 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
36920 |
Total Drug Medicare AllowedAmount |
15043.07 |
Total Drug Medicare PaymentAmount |
11793.7 |
Total Drug Medicare Standardized Payment Amount |
11793.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3948 |
Number Of Medicare Beneficiaries With Medical Services |
1180 |
Total Medical Submitted Charge Amount |
1308147.5 |
Total Medical Medicare Allowed Amount |
448207.13 |
Total Medical Medicare Payment Amount |
337715.05 |
Total Medical Medicare Standardized Payment Amount |
357470.51 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
585 |
Number Of Non Hispanic White Beneficiaries |
994 |
Number Of Black or African American Beneficiaries |
165 |
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 |
1054 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5055 |