National Provider Identifier [NPI]: |
1972502474 |
Last Name Of The Provider |
LOWE |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6025 BENTWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLOTHIAN |
Zip Code Of The Provider |
760656923 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
5014 |
Number Of Medicare Beneficiaries |
564 |
Total Submitted Charge Amount |
622311 |
Total Medicare Allowed Amount |
306581.03 |
Total Medicare Payment Amount |
230271.13 |
Total Medicare Standardized Payment Amount |
289808.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
930 |
Total Drug Medicare AllowedAmount |
148.26 |
Total Drug Medicare PaymentAmount |
116.29 |
Total Drug Medicare Standardized Payment Amount |
116.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
4974 |
Number Of Medicare Beneficiaries With Medical Services |
564 |
Total Medical Submitted Charge Amount |
621381 |
Total Medical Medicare Allowed Amount |
306432.77 |
Total Medical Medicare Payment Amount |
230154.84 |
Total Medical Medicare Standardized Payment Amount |
289692.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
374 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
65 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.091 |