National Provider Identifier [NPI]: |
1073546149 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 FLORIDA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708063842 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2025 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
316663 |
Total Medicare Allowed Amount |
187924.5 |
Total Medicare Payment Amount |
143662.96 |
Total Medicare Standardized Payment Amount |
152938.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
409 |
Total Drug Medicare AllowedAmount |
275.57 |
Total Drug Medicare PaymentAmount |
269.94 |
Total Drug Medicare Standardized Payment Amount |
269.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2013 |
Number Of Medicare Beneficiaries With Medical Services |
610 |
Total Medical Submitted Charge Amount |
316254 |
Total Medical Medicare Allowed Amount |
187648.93 |
Total Medical Medicare Payment Amount |
143393.02 |
Total Medical Medicare Standardized Payment Amount |
152668.9 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
354 |
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 |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
386 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.7383 |