National Provider Identifier [NPI]: |
1124074794 |
Last Name Of The Provider |
LEOPARD |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1453 E BERT KOUNS INDUSTRIAL LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711056800 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
5552 |
Number Of Medicare Beneficiaries |
3158 |
Total Submitted Charge Amount |
732317 |
Total Medicare Allowed Amount |
164591.27 |
Total Medicare Payment Amount |
131412.26 |
Total Medicare Standardized Payment Amount |
138824.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
375 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2625 |
Total Drug Medicare AllowedAmount |
829.91 |
Total Drug Medicare PaymentAmount |
563.86 |
Total Drug Medicare Standardized Payment Amount |
563.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
168 |
Number Of Medical Services |
5177 |
Number Of Medicare Beneficiaries With Medical Services |
3158 |
Total Medical Submitted Charge Amount |
729692 |
Total Medical Medicare Allowed Amount |
163761.36 |
Total Medical Medicare Payment Amount |
130848.4 |
Total Medical Medicare Standardized Payment Amount |
138260.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
488 |
Number Of Beneficiaries Age 65 to 74 |
1307 |
Number Of Beneficiaries Age 75 to 84 |
958 |
Number Of Beneficiaries Age Greater 84 |
405 |
Number Of Female Beneficiaries |
2328 |
Number Of Male Beneficiaries |
830 |
Number Of Non Hispanic White Beneficiaries |
2235 |
Number Of Black or African American Beneficiaries |
861 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
925 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4989 |