National Provider Identifier [NPI]: |
1306801576 |
Last Name Of The Provider |
NIX |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
OPELOUSAS |
Zip Code Of The Provider |
705706552 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
5263 |
Number Of Medicare Beneficiaries |
1315 |
Total Submitted Charge Amount |
534753.56 |
Total Medicare Allowed Amount |
303947.83 |
Total Medicare Payment Amount |
224592.52 |
Total Medicare Standardized Payment Amount |
238962.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
4328.3 |
Total Drug Medicare AllowedAmount |
2645.71 |
Total Drug Medicare PaymentAmount |
2586.77 |
Total Drug Medicare Standardized Payment Amount |
2586.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5059 |
Number Of Medicare Beneficiaries With Medical Services |
1315 |
Total Medical Submitted Charge Amount |
530425.26 |
Total Medical Medicare Allowed Amount |
301302.12 |
Total Medical Medicare Payment Amount |
222005.75 |
Total Medical Medicare Standardized Payment Amount |
236375.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
476 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
774 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
406 |
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 |
757 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
558 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6523 |