National Provider Identifier [NPI]: |
1659331247 |
Last Name Of The Provider |
KRAFT |
First Name Of The Provider |
LEON |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8401 PICARDY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708093685 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3994 |
Number Of Medicare Beneficiaries |
852 |
Total Submitted Charge Amount |
998885 |
Total Medicare Allowed Amount |
305844.08 |
Total Medicare Payment Amount |
222676.59 |
Total Medicare Standardized Payment Amount |
241701.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
448 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
56000 |
Total Drug Medicare AllowedAmount |
23708.87 |
Total Drug Medicare PaymentAmount |
18090.89 |
Total Drug Medicare Standardized Payment Amount |
18090.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3546 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
942885 |
Total Medical Medicare Allowed Amount |
282135.21 |
Total Medical Medicare Payment Amount |
204585.7 |
Total Medical Medicare Standardized Payment Amount |
223610.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
173 |
Number Of Black or African American Beneficiaries |
666 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0558 |