National Provider Identifier [NPI]: |
1619968229 |
Last Name Of The Provider |
SAVORY |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7813 YOUREE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711055505 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5783 |
Number Of Medicare Beneficiaries |
982 |
Total Submitted Charge Amount |
494250.54 |
Total Medicare Allowed Amount |
243256.87 |
Total Medicare Payment Amount |
174765.28 |
Total Medicare Standardized Payment Amount |
184521.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
941 |
Number Of Medicare Beneficiaries With Drug Services |
249 |
Total Drug Submitted ChargeAmount |
21012 |
Total Drug Medicare AllowedAmount |
10860.47 |
Total Drug Medicare PaymentAmount |
10412.5 |
Total Drug Medicare Standardized Payment Amount |
10412.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4842 |
Number Of Medicare Beneficiaries With Medical Services |
982 |
Total Medical Submitted Charge Amount |
473238.54 |
Total Medical Medicare Allowed Amount |
232396.4 |
Total Medical Medicare Payment Amount |
164352.78 |
Total Medical Medicare Standardized Payment Amount |
174109.08 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
287 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
720 |
Number Of Black or African American Beneficiaries |
230 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
442 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3828 |