National Provider Identifier [NPI]: |
1902800634 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
JAMES |
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 |
1455 E BERT KOUNS LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711055634 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1279 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
187267 |
Total Medicare Allowed Amount |
74475.83 |
Total Medicare Payment Amount |
53360.99 |
Total Medicare Standardized Payment Amount |
57085.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
219 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
2464 |
Total Drug Medicare AllowedAmount |
744.66 |
Total Drug Medicare PaymentAmount |
430.62 |
Total Drug Medicare Standardized Payment Amount |
430.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1060 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
184803 |
Total Medical Medicare Allowed Amount |
73731.17 |
Total Medical Medicare Payment Amount |
52930.37 |
Total Medical Medicare Standardized Payment Amount |
56654.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
278 |
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 |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1354 |