National Provider Identifier [NPI]: |
1659347854 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
LUKE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 DR MICHAEL DEBAKEY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CHARLES |
Zip Code Of The Provider |
706015724 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5816 |
Number Of Medicare Beneficiaries |
1255 |
Total Submitted Charge Amount |
1322464.63 |
Total Medicare Allowed Amount |
473682.39 |
Total Medicare Payment Amount |
358914.88 |
Total Medicare Standardized Payment Amount |
379991.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
3802.63 |
Total Drug Medicare AllowedAmount |
2014.92 |
Total Drug Medicare PaymentAmount |
1812.77 |
Total Drug Medicare Standardized Payment Amount |
1812.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
5744 |
Number Of Medicare Beneficiaries With Medical Services |
1254 |
Total Medical Submitted Charge Amount |
1318662 |
Total Medical Medicare Allowed Amount |
471667.47 |
Total Medical Medicare Payment Amount |
357102.11 |
Total Medical Medicare Standardized Payment Amount |
378178.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
487 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
604 |
Number Of Non Hispanic White Beneficiaries |
1056 |
Number Of Black or African American Beneficiaries |
172 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.116 |