National Provider Identifier [NPI]: |
1669441283 |
Last Name Of The Provider |
MEADAA |
First Name Of The Provider |
REYMOND |
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 |
1106A PORT ARTHUR TER |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESVILLE |
Zip Code Of The Provider |
714464636 |
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 |
69 |
Number Of Services |
9236 |
Number Of Medicare Beneficiaries |
2108 |
Total Submitted Charge Amount |
1710071 |
Total Medicare Allowed Amount |
531695.15 |
Total Medicare Payment Amount |
386880.34 |
Total Medicare Standardized Payment Amount |
416487.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
232 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
4695 |
Total Drug Medicare AllowedAmount |
3627.99 |
Total Drug Medicare PaymentAmount |
3554.97 |
Total Drug Medicare Standardized Payment Amount |
3554.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
9004 |
Number Of Medicare Beneficiaries With Medical Services |
2108 |
Total Medical Submitted Charge Amount |
1705376 |
Total Medical Medicare Allowed Amount |
528067.16 |
Total Medical Medicare Payment Amount |
383325.37 |
Total Medical Medicare Standardized Payment Amount |
412932.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
398 |
Number Of Beneficiaries Age 65 to 74 |
891 |
Number Of Beneficiaries Age 75 to 84 |
616 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
1221 |
Number Of Male Beneficiaries |
887 |
Number Of Non Hispanic White Beneficiaries |
1708 |
Number Of Black or African American Beneficiaries |
313 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
645 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.59 |