National Provider Identifier [NPI]: |
1043271497 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 HENNESSY BLVD |
Street Address 2 Of The Provider |
SUITE 2004 |
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708084300 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
30999 |
Number Of Medicare Beneficiaries |
1177 |
Total Submitted Charge Amount |
1902893.5 |
Total Medicare Allowed Amount |
673192.25 |
Total Medicare Payment Amount |
508027.04 |
Total Medicare Standardized Payment Amount |
546767.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
19890 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
319187.5 |
Total Drug Medicare AllowedAmount |
98709.38 |
Total Drug Medicare PaymentAmount |
74855.25 |
Total Drug Medicare Standardized Payment Amount |
74855.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
11109 |
Number Of Medicare Beneficiaries With Medical Services |
1177 |
Total Medical Submitted Charge Amount |
1583706 |
Total Medical Medicare Allowed Amount |
574482.87 |
Total Medical Medicare Payment Amount |
433171.79 |
Total Medical Medicare Standardized Payment Amount |
471912.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
370 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
886 |
Number Of Non Hispanic White Beneficiaries |
950 |
Number Of Black or African American Beneficiaries |
190 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1021 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1783 |