National Provider Identifier [NPI]: |
1114020708 |
Last Name Of The Provider |
MARCHAND |
First Name Of The Provider |
NATHAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3030 NORTH ST |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777021433 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
4384 |
Number Of Medicare Beneficiaries |
1001 |
Total Submitted Charge Amount |
421826 |
Total Medicare Allowed Amount |
313416.2 |
Total Medicare Payment Amount |
231767.06 |
Total Medicare Standardized Payment Amount |
247814.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
355 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
8259 |
Total Drug Medicare AllowedAmount |
3649.06 |
Total Drug Medicare PaymentAmount |
3401.68 |
Total Drug Medicare Standardized Payment Amount |
3401.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4029 |
Number Of Medicare Beneficiaries With Medical Services |
1001 |
Total Medical Submitted Charge Amount |
413567 |
Total Medical Medicare Allowed Amount |
309767.14 |
Total Medical Medicare Payment Amount |
228365.38 |
Total Medical Medicare Standardized Payment Amount |
244413.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
794 |
Number Of Black or African American Beneficiaries |
180 |
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 |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2519 |