National Provider Identifier [NPI]: |
1992776231 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S FARMERVILLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RUSTON |
Zip Code Of The Provider |
712705941 |
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 |
91 |
Number Of Services |
9405 |
Number Of Medicare Beneficiaries |
1584 |
Total Submitted Charge Amount |
1475705 |
Total Medicare Allowed Amount |
478983.93 |
Total Medicare Payment Amount |
352164.9 |
Total Medicare Standardized Payment Amount |
381774.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
345 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
45044 |
Total Drug Medicare AllowedAmount |
16172.12 |
Total Drug Medicare PaymentAmount |
12585.36 |
Total Drug Medicare Standardized Payment Amount |
12585.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
9060 |
Number Of Medicare Beneficiaries With Medical Services |
1584 |
Total Medical Submitted Charge Amount |
1430661 |
Total Medical Medicare Allowed Amount |
462811.81 |
Total Medical Medicare Payment Amount |
339579.54 |
Total Medical Medicare Standardized Payment Amount |
369189.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
319 |
Number Of Female Beneficiaries |
872 |
Number Of Male Beneficiaries |
712 |
Number Of Non Hispanic White Beneficiaries |
1082 |
Number Of Black or African American Beneficiaries |
490 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
1078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
506 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7111 |