National Provider Identifier [NPI]: |
1972612166 |
Last Name Of The Provider |
LOZIER |
First Name Of The Provider |
CHARLES |
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 |
5950 UNIVERSITY AVE |
Street Address 2 Of The Provider |
STE 151 |
City Of The Provider |
WEST DES MOINES |
Zip Code Of The Provider |
502668216 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
7632 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
638006 |
Total Medicare Allowed Amount |
270666 |
Total Medicare Payment Amount |
211593.66 |
Total Medicare Standardized Payment Amount |
225772.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
342 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
7327 |
Total Drug Medicare AllowedAmount |
5704.98 |
Total Drug Medicare PaymentAmount |
5306.23 |
Total Drug Medicare Standardized Payment Amount |
5306.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
7290 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
630679 |
Total Medical Medicare Allowed Amount |
264961.02 |
Total Medical Medicare Payment Amount |
206287.43 |
Total Medical Medicare Standardized Payment Amount |
220466.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
638 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
846 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
1238 |
Number Of Black or African American Beneficiaries |
15 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8707 |