Medicare Facts for Dr. Herbert R. Plauche, MD


National Provider Identifier [NPI]: 1275599557
Last Name Of The Provider PLAUCHE
First Name Of The Provider HERBERT
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 19343 SUNSHINE AVE
Street Address 2 Of The Provider
City Of The Provider COVINGTON
Zip Code Of The Provider 704338834
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 112
Number Of Services 3831
Number Of Medicare Beneficiaries 494
Total Submitted Charge Amount 1223456.65
Total Medicare Allowed Amount 278021.34
Total Medicare Payment Amount 204652.78
Total Medicare Standardized Payment Amount 217458.63
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 957
Number Of Medicare Beneficiaries With Drug Services 194
Total Drug Submitted ChargeAmount 97459.66
Total Drug Medicare AllowedAmount 34621.06
Total Drug Medicare PaymentAmount 26908.96
Total Drug Medicare Standardized Payment Amount 26908.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 104
Number Of Medical Services 2874
Number Of Medicare Beneficiaries With Medical Services 494
Total Medical Submitted Charge Amount 1125996.99
Total Medical Medicare Allowed Amount 243400.28
Total Medical Medicare Payment Amount 177743.82
Total Medical Medicare Standardized Payment Amount 190549.67
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 71
Number Of Beneficiaries Age 65 to 74 230
Number Of Beneficiaries Age 75 to 84 131
Number Of Beneficiaries Age Greater 84 62
Number Of Female Beneficiaries 318
Number Of Male Beneficiaries 176
Number Of Non Hispanic White Beneficiaries 453
Number Of Black or African American Beneficiaries 26
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 419
Number Of Beneficiaries With Medicare Medicaid Entitlement 75
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 27
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 68
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3126

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