National Provider Identifier [NPI]: |
1043375363 |
Last Name Of The Provider |
CALABRESI |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1120 ROBERT BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
70458 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
49689 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
1537984 |
Total Medicare Allowed Amount |
745231.31 |
Total Medicare Payment Amount |
579031.7 |
Total Medicare Standardized Payment Amount |
584024.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
46920 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
1178449 |
Total Drug Medicare AllowedAmount |
555325.85 |
Total Drug Medicare PaymentAmount |
434962.83 |
Total Drug Medicare Standardized Payment Amount |
434962.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2769 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
359535 |
Total Medical Medicare Allowed Amount |
189905.46 |
Total Medical Medicare Payment Amount |
144068.87 |
Total Medical Medicare Standardized Payment Amount |
149061.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
61 |
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 |
332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2827 |