National Provider Identifier [NPI]: |
1881803138 |
Last Name Of The Provider |
LITTLE |
First Name Of The Provider |
SUNSHINE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3824 NE EVANGELINE TRWY |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
CARENCRO |
Zip Code Of The Provider |
705205966 |
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 |
73 |
Number Of Services |
2039 |
Number Of Medicare Beneficiaries |
377 |
Total Submitted Charge Amount |
178086.89 |
Total Medicare Allowed Amount |
120589.33 |
Total Medicare Payment Amount |
86057.53 |
Total Medicare Standardized Payment Amount |
92275.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
360 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
18715.91 |
Total Drug Medicare AllowedAmount |
10365.64 |
Total Drug Medicare PaymentAmount |
9968.74 |
Total Drug Medicare Standardized Payment Amount |
9968.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1679 |
Number Of Medicare Beneficiaries With Medical Services |
377 |
Total Medical Submitted Charge Amount |
159370.98 |
Total Medical Medicare Allowed Amount |
110223.69 |
Total Medical Medicare Payment Amount |
76088.79 |
Total Medical Medicare Standardized Payment Amount |
82306.39 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
292 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.068 |