National Provider Identifier [NPI]: |
1700806767 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
ALYCE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D.,CDE |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3106 CYPRESS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST MONROE |
Zip Code Of The Provider |
712915203 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
6127 |
Number Of Medicare Beneficiaries |
3397 |
Total Submitted Charge Amount |
336389.94 |
Total Medicare Allowed Amount |
167854.36 |
Total Medicare Payment Amount |
119482.62 |
Total Medicare Standardized Payment Amount |
128258.32 |
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 |
30 |
Number Of Medical Services |
6127 |
Number Of Medicare Beneficiaries With Medical Services |
3397 |
Total Medical Submitted Charge Amount |
336389.94 |
Total Medical Medicare Allowed Amount |
167854.36 |
Total Medical Medicare Payment Amount |
119482.62 |
Total Medical Medicare Standardized Payment Amount |
128258.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
604 |
Number Of Beneficiaries Age 65 to 74 |
1173 |
Number Of Beneficiaries Age 75 to 84 |
1076 |
Number Of Beneficiaries Age Greater 84 |
544 |
Number Of Female Beneficiaries |
1952 |
Number Of Male Beneficiaries |
1445 |
Number Of Non Hispanic White Beneficiaries |
2561 |
Number Of Black or African American Beneficiaries |
801 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1248 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
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 |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8919 |