National Provider Identifier [NPI]: |
1538358205 |
Last Name Of The Provider |
STAIR |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 HENNESSY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708084375 |
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 |
183 |
Number Of Services |
5445 |
Number Of Medicare Beneficiaries |
3356 |
Total Submitted Charge Amount |
603495 |
Total Medicare Allowed Amount |
148672.42 |
Total Medicare Payment Amount |
110355.28 |
Total Medicare Standardized Payment Amount |
116975.78 |
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 |
183 |
Number Of Medical Services |
5445 |
Number Of Medicare Beneficiaries With Medical Services |
3356 |
Total Medical Submitted Charge Amount |
603495 |
Total Medical Medicare Allowed Amount |
148672.42 |
Total Medical Medicare Payment Amount |
110355.28 |
Total Medical Medicare Standardized Payment Amount |
116975.78 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
806 |
Number Of Beneficiaries Age 65 to 74 |
1173 |
Number Of Beneficiaries Age 75 to 84 |
906 |
Number Of Beneficiaries Age Greater 84 |
471 |
Number Of Female Beneficiaries |
1889 |
Number Of Male Beneficiaries |
1467 |
Number Of Non Hispanic White Beneficiaries |
2201 |
Number Of Black or African American Beneficiaries |
1028 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2179 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1177 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8724 |