National Provider Identifier [NPI]: |
1689672446 |
Last Name Of The Provider |
DOWD |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3704 NORTH BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713013606 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
2782 |
Number Of Medicare Beneficiaries |
724 |
Total Submitted Charge Amount |
1747853 |
Total Medicare Allowed Amount |
461010.1 |
Total Medicare Payment Amount |
347639.46 |
Total Medicare Standardized Payment Amount |
369164.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
195 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
9036 |
Total Drug Medicare AllowedAmount |
1007.5 |
Total Drug Medicare PaymentAmount |
738.04 |
Total Drug Medicare Standardized Payment Amount |
738.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
2587 |
Number Of Medicare Beneficiaries With Medical Services |
723 |
Total Medical Submitted Charge Amount |
1738817 |
Total Medical Medicare Allowed Amount |
460002.6 |
Total Medical Medicare Payment Amount |
346901.42 |
Total Medical Medicare Standardized Payment Amount |
368426.49 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
204 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
137 |
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 |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3343 |