National Provider Identifier [NPI]: |
1730148677 |
Last Name Of The Provider |
JOUBERT |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1051 GAUSE BLVD |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
704582951 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2442 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
339430 |
Total Medicare Allowed Amount |
217070.65 |
Total Medicare Payment Amount |
165943.19 |
Total Medicare Standardized Payment Amount |
173224.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3000 |
Total Drug Medicare AllowedAmount |
1725.33 |
Total Drug Medicare PaymentAmount |
1674.25 |
Total Drug Medicare Standardized Payment Amount |
1674.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2403 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
336430 |
Total Medical Medicare Allowed Amount |
215345.32 |
Total Medical Medicare Payment Amount |
164268.94 |
Total Medical Medicare Standardized Payment Amount |
171550.21 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
64 |
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 |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
65 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
3.3435 |