National Provider Identifier [NPI]: |
1922003656 |
Last Name Of The Provider |
PICOU |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1029 KEYSER AVENUE |
Street Address 2 Of The Provider |
NATCHITOCHES MEDICAL SPECIALISTS |
City Of The Provider |
NATCHITOCHES |
Zip Code Of The Provider |
714576239 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
6526 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
799636.86 |
Total Medicare Allowed Amount |
337966.31 |
Total Medicare Payment Amount |
249813.19 |
Total Medicare Standardized Payment Amount |
264184.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
577 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
12546 |
Total Drug Medicare AllowedAmount |
2764.78 |
Total Drug Medicare PaymentAmount |
2366.81 |
Total Drug Medicare Standardized Payment Amount |
2366.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
5949 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
787090.86 |
Total Medical Medicare Allowed Amount |
335201.53 |
Total Medical Medicare Payment Amount |
247446.38 |
Total Medical Medicare Standardized Payment Amount |
261817.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
427 |
Number Of Black or African American Beneficiaries |
195 |
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 |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4612 |