National Provider Identifier [NPI]: |
1710972559 |
Last Name Of The Provider |
BARZ |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 BUCKNER ST |
Street Address 2 Of The Provider |
SUITE C120 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711014440 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
5587 |
Number Of Medicare Beneficiaries |
1089 |
Total Submitted Charge Amount |
523867 |
Total Medicare Allowed Amount |
484518.01 |
Total Medicare Payment Amount |
376647.5 |
Total Medicare Standardized Payment Amount |
392535.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1277 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
18373 |
Total Drug Medicare AllowedAmount |
14452.96 |
Total Drug Medicare PaymentAmount |
11048.11 |
Total Drug Medicare Standardized Payment Amount |
11048.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
4310 |
Number Of Medicare Beneficiaries With Medical Services |
1089 |
Total Medical Submitted Charge Amount |
505494 |
Total Medical Medicare Allowed Amount |
470065.05 |
Total Medical Medicare Payment Amount |
365599.39 |
Total Medical Medicare Standardized Payment Amount |
381487.03 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
307 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
551 |
Number Of Male Beneficiaries |
538 |
Number Of Non Hispanic White Beneficiaries |
560 |
Number Of Black or African American Beneficiaries |
504 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
446 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
4.729 |