National Provider Identifier [NPI]: |
1437233533 |
Last Name Of The Provider |
LOCKHART |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4921 PARKVIEW PL |
Street Address 2 Of The Provider |
7TH FLOOR |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631101032 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
61107 |
Number Of Medicare Beneficiaries |
582 |
Total Submitted Charge Amount |
3800625 |
Total Medicare Allowed Amount |
1314543.77 |
Total Medicare Payment Amount |
1021461.67 |
Total Medicare Standardized Payment Amount |
1021987.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
90 |
Number Of Drug Services |
58218 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
3008603 |
Total Drug Medicare AllowedAmount |
1074970.03 |
Total Drug Medicare PaymentAmount |
839029.26 |
Total Drug Medicare Standardized Payment Amount |
839029.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2889 |
Number Of Medicare Beneficiaries With Medical Services |
582 |
Total Medical Submitted Charge Amount |
792022 |
Total Medical Medicare Allowed Amount |
239573.74 |
Total Medical Medicare Payment Amount |
182432.41 |
Total Medical Medicare Standardized Payment Amount |
182958.25 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
325 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.4526 |