National Provider Identifier [NPI]: |
1316954068 |
Last Name Of The Provider |
SCHUBER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
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 |
222 |
Number Of Services |
3932 |
Number Of Medicare Beneficiaries |
2288 |
Total Submitted Charge Amount |
587123 |
Total Medicare Allowed Amount |
131925.93 |
Total Medicare Payment Amount |
98816.85 |
Total Medicare Standardized Payment Amount |
104287.59 |
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 |
222 |
Number Of Medical Services |
3932 |
Number Of Medicare Beneficiaries With Medical Services |
2288 |
Total Medical Submitted Charge Amount |
587123 |
Total Medical Medicare Allowed Amount |
131925.93 |
Total Medical Medicare Payment Amount |
98816.85 |
Total Medical Medicare Standardized Payment Amount |
104287.59 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
590 |
Number Of Beneficiaries Age 65 to 74 |
803 |
Number Of Beneficiaries Age 75 to 84 |
562 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
1263 |
Number Of Male Beneficiaries |
1025 |
Number Of Non Hispanic White Beneficiaries |
1451 |
Number Of Black or African American Beneficiaries |
768 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
860 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.119 |