National Provider Identifier [NPI]: |
1942384870 |
Last Name Of The Provider |
METOYER |
First Name Of The Provider |
DEREK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
204 W NORTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OPELOUSAS |
Zip Code Of The Provider |
705705244 |
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 |
35 |
Number Of Services |
3533 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
354950 |
Total Medicare Allowed Amount |
195662.39 |
Total Medicare Payment Amount |
137835.51 |
Total Medicare Standardized Payment Amount |
150954.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
351 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
5155 |
Total Drug Medicare AllowedAmount |
1945.23 |
Total Drug Medicare PaymentAmount |
1897.99 |
Total Drug Medicare Standardized Payment Amount |
1897.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3182 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
349795 |
Total Medical Medicare Allowed Amount |
193717.16 |
Total Medical Medicare Payment Amount |
135937.52 |
Total Medical Medicare Standardized Payment Amount |
149056.32 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
349 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
509 |
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 |
197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.775 |