National Provider Identifier [NPI]: |
1306021407 |
Last Name Of The Provider |
TIGHE |
First Name Of The Provider |
DEVIN |
Middle Initial Of The Provider |
K |
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 STE 1 |
Street Address 2 Of The Provider |
|
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 |
197 |
Number Of Services |
12390 |
Number Of Medicare Beneficiaries |
6981 |
Total Submitted Charge Amount |
1172880 |
Total Medicare Allowed Amount |
307550.21 |
Total Medicare Payment Amount |
229320.65 |
Total Medicare Standardized Payment Amount |
241275.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
197 |
Number Of Medical Services |
12390 |
Number Of Medicare Beneficiaries With Medical Services |
6981 |
Total Medical Submitted Charge Amount |
1172880 |
Total Medical Medicare Allowed Amount |
307550.21 |
Total Medical Medicare Payment Amount |
229320.65 |
Total Medical Medicare Standardized Payment Amount |
241275.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1612 |
Number Of Beneficiaries Age 65 to 74 |
2603 |
Number Of Beneficiaries Age 75 to 84 |
2000 |
Number Of Beneficiaries Age Greater 84 |
766 |
Number Of Female Beneficiaries |
4300 |
Number Of Male Beneficiaries |
2681 |
Number Of Non Hispanic White Beneficiaries |
5265 |
Number Of Black or African American Beneficiaries |
1564 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
4217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2764 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6324 |