National Provider Identifier [NPI]: |
1952341497 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
351 MOOSA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUNICE |
Zip Code Of The Provider |
705353625 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
8440 |
Number Of Medicare Beneficiaries |
975 |
Total Submitted Charge Amount |
900840 |
Total Medicare Allowed Amount |
390281.19 |
Total Medicare Payment Amount |
285985.77 |
Total Medicare Standardized Payment Amount |
304305.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2041 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
66320 |
Total Drug Medicare AllowedAmount |
17656.43 |
Total Drug Medicare PaymentAmount |
16572.33 |
Total Drug Medicare Standardized Payment Amount |
16572.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
6399 |
Number Of Medicare Beneficiaries With Medical Services |
975 |
Total Medical Submitted Charge Amount |
834520 |
Total Medical Medicare Allowed Amount |
372624.76 |
Total Medical Medicare Payment Amount |
269413.44 |
Total Medical Medicare Standardized Payment Amount |
287733.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
430 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
159 |
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 |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4444 |