National Provider Identifier [NPI]: |
1265546105 |
Last Name Of The Provider |
COLLIER |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 B. WEST BOUNDARY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINNFIELD |
Zip Code Of The Provider |
71483 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
2609 |
Number Of Medicare Beneficiaries |
245 |
Total Submitted Charge Amount |
347060 |
Total Medicare Allowed Amount |
154346.04 |
Total Medicare Payment Amount |
115154.6 |
Total Medicare Standardized Payment Amount |
121863.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
3860 |
Total Drug Medicare AllowedAmount |
926.1 |
Total Drug Medicare PaymentAmount |
688.72 |
Total Drug Medicare Standardized Payment Amount |
688.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2435 |
Number Of Medicare Beneficiaries With Medical Services |
245 |
Total Medical Submitted Charge Amount |
343200 |
Total Medical Medicare Allowed Amount |
153419.94 |
Total Medical Medicare Payment Amount |
114465.88 |
Total Medical Medicare Standardized Payment Amount |
121174.69 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
157 |
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 |
103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5334 |