National Provider Identifier [NPI]: |
1629035647 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 DR MICHAEL DEBAKEY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CHARLES |
Zip Code Of The Provider |
706015727 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
16429 |
Number Of Medicare Beneficiaries |
2302 |
Total Submitted Charge Amount |
1589050.76 |
Total Medicare Allowed Amount |
514811.26 |
Total Medicare Payment Amount |
381906.36 |
Total Medicare Standardized Payment Amount |
411311.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
9534 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
45927.76 |
Total Drug Medicare AllowedAmount |
14079.02 |
Total Drug Medicare PaymentAmount |
10890.27 |
Total Drug Medicare Standardized Payment Amount |
10890.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
6895 |
Number Of Medicare Beneficiaries With Medical Services |
2302 |
Total Medical Submitted Charge Amount |
1543123 |
Total Medical Medicare Allowed Amount |
500732.24 |
Total Medical Medicare Payment Amount |
371016.09 |
Total Medical Medicare Standardized Payment Amount |
400421.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
352 |
Number Of Beneficiaries Age 65 to 74 |
817 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1171 |
Number Of Male Beneficiaries |
1131 |
Number Of Non Hispanic White Beneficiaries |
1816 |
Number Of Black or African American Beneficiaries |
435 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1798 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
504 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7265 |