National Provider Identifier [NPI]: |
1821087917 |
Last Name Of The Provider |
LANGSTON |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10101 PARK ROWE AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708101686 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6646 |
Number Of Medicare Beneficiaries |
440 |
Total Submitted Charge Amount |
876203 |
Total Medicare Allowed Amount |
185578.85 |
Total Medicare Payment Amount |
140471.19 |
Total Medicare Standardized Payment Amount |
136433.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4205 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
48411 |
Total Drug Medicare AllowedAmount |
23085.07 |
Total Drug Medicare PaymentAmount |
18027.5 |
Total Drug Medicare Standardized Payment Amount |
18027.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2441 |
Number Of Medicare Beneficiaries With Medical Services |
440 |
Total Medical Submitted Charge Amount |
827792 |
Total Medical Medicare Allowed Amount |
162493.78 |
Total Medical Medicare Payment Amount |
122443.69 |
Total Medical Medicare Standardized Payment Amount |
118405.69 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
281 |
Number Of Black or African American Beneficiaries |
142 |
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 |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.3195 |