National Provider Identifier [NPI]: |
1144228495 |
Last Name Of The Provider |
RICE |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3704 NORTH BLVD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713013658 |
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 |
237 |
Number Of Services |
8273 |
Number Of Medicare Beneficiaries |
2286 |
Total Submitted Charge Amount |
2716711 |
Total Medicare Allowed Amount |
717148.83 |
Total Medicare Payment Amount |
552821.01 |
Total Medicare Standardized Payment Amount |
601755.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3599 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
164079 |
Total Drug Medicare AllowedAmount |
3378.87 |
Total Drug Medicare PaymentAmount |
2621.01 |
Total Drug Medicare Standardized Payment Amount |
2621.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
4674 |
Number Of Medicare Beneficiaries With Medical Services |
2286 |
Total Medical Submitted Charge Amount |
2552632 |
Total Medical Medicare Allowed Amount |
713769.96 |
Total Medical Medicare Payment Amount |
550200 |
Total Medical Medicare Standardized Payment Amount |
599134.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
485 |
Number Of Beneficiaries Age 65 to 74 |
840 |
Number Of Beneficiaries Age 75 to 84 |
698 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
1236 |
Number Of Male Beneficiaries |
1050 |
Number Of Non Hispanic White Beneficiaries |
1695 |
Number Of Black or African American Beneficiaries |
548 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
874 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.061 |