National Provider Identifier [NPI]: |
1295928794 |
Last Name Of The Provider |
BLOUNT |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 J.W. DAVIS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMMOND |
Zip Code Of The Provider |
70403 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2863 |
Number Of Medicare Beneficiaries |
532 |
Total Submitted Charge Amount |
929725 |
Total Medicare Allowed Amount |
148167.78 |
Total Medicare Payment Amount |
110718.33 |
Total Medicare Standardized Payment Amount |
128637.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
987 |
Number Of Medicare Beneficiaries With Drug Services |
390 |
Total Drug Submitted ChargeAmount |
137095 |
Total Drug Medicare AllowedAmount |
49314.85 |
Total Drug Medicare PaymentAmount |
38218.19 |
Total Drug Medicare Standardized Payment Amount |
38218.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1876 |
Number Of Medicare Beneficiaries With Medical Services |
532 |
Total Medical Submitted Charge Amount |
792630 |
Total Medical Medicare Allowed Amount |
98852.93 |
Total Medical Medicare Payment Amount |
72500.14 |
Total Medical Medicare Standardized Payment Amount |
90419.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
125 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3248 |