National Provider Identifier [NPI]: |
1588779425 |
Last Name Of The Provider |
PRESSLY |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2751 ALBERT L BICKNELL DR |
Street Address 2 Of The Provider |
SUITE 2E |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
711033920 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
16363 |
Number Of Medicare Beneficiaries |
801 |
Total Submitted Charge Amount |
689423.5 |
Total Medicare Allowed Amount |
446292.62 |
Total Medicare Payment Amount |
324600.87 |
Total Medicare Standardized Payment Amount |
340865.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5478 |
Number Of Medicare Beneficiaries With Drug Services |
523 |
Total Drug Submitted ChargeAmount |
72457.5 |
Total Drug Medicare AllowedAmount |
43008.68 |
Total Drug Medicare PaymentAmount |
30765.97 |
Total Drug Medicare Standardized Payment Amount |
30765.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
10885 |
Number Of Medicare Beneficiaries With Medical Services |
801 |
Total Medical Submitted Charge Amount |
616966 |
Total Medical Medicare Allowed Amount |
403283.94 |
Total Medical Medicare Payment Amount |
293834.9 |
Total Medical Medicare Standardized Payment Amount |
310099.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
|
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 |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
29 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2575 |