Medicare Facts for Dr. Chansamorn D. Nouansavane, MD


National Provider Identifier [NPI]: 1811098403
Last Name Of The Provider NOUANSAVANE
First Name Of The Provider CHANSAMORN
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 14 GOEHIC RIDGE RD
Street Address 2 Of The Provider CORNERSTONE FAMILY MEDICAL
City Of The Provider VAN BUREN
Zip Code Of The Provider 72956
State Code Of The Provider AR
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 1384
Number Of Medicare Beneficiaries 348
Total Submitted Charge Amount 159019.32
Total Medicare Allowed Amount 57990.64
Total Medicare Payment Amount 38545.32
Total Medicare Standardized Payment Amount 43568.09
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 376
Number Of Medicare Beneficiaries With Drug Services 74
Total Drug Submitted ChargeAmount 6435
Total Drug Medicare AllowedAmount 795.01
Total Drug Medicare PaymentAmount 571.98
Total Drug Medicare Standardized Payment Amount 571.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 1008
Number Of Medicare Beneficiaries With Medical Services 348
Total Medical Submitted Charge Amount 152584.32
Total Medical Medicare Allowed Amount 57195.63
Total Medical Medicare Payment Amount 37973.34
Total Medical Medicare Standardized Payment Amount 42996.11
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 118
Number Of Beneficiaries Age 65 to 74 136
Number Of Beneficiaries Age 75 to 84 64
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 131
Number Of Non Hispanic White Beneficiaries 321
Number Of Black or African American Beneficiaries
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 239
Number Of Beneficiaries With Medicare Medicaid Entitlement 109
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 7
Percent Of With Cancer 6
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 31
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0384

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