| National Provider Identifier [NPI]: | 1992783492 |
| Last Name Of The Provider | LAKIN |
| First Name Of The Provider | DOUGLAS |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9977 N 90TH ST |
| Street Address 2 Of The Provider | #180 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852584423 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 40 |
| Number Of Services | 13536 |
| Number Of Medicare Beneficiaries | 2042 |
| Total Submitted Charge Amount | 968816.75 |
| Total Medicare Allowed Amount | 719466.56 |
| Total Medicare Payment Amount | 550221.74 |
| Total Medicare Standardized Payment Amount | 557396.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 1323 |
| Number Of Medicare Beneficiaries With Drug Services | 618 |
| Total Drug Submitted ChargeAmount | 43035.75 |
| Total Drug Medicare AllowedAmount | 24561.69 |
| Total Drug Medicare PaymentAmount | 23094.61 |
| Total Drug Medicare Standardized Payment Amount | 23094.61 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 12213 |
| Number Of Medicare Beneficiaries With Medical Services | 2042 |
| Total Medical Submitted Charge Amount | 925781 |
| Total Medical Medicare Allowed Amount | 694904.87 |
| Total Medical Medicare Payment Amount | 527127.13 |
| Total Medical Medicare Standardized Payment Amount | 534302.07 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 40 |
| Number Of Beneficiaries Age 65 to 74 | 848 |
| Number Of Beneficiaries Age 75 to 84 | 789 |
| Number Of Beneficiaries Age Greater 84 | 365 |
| Number Of Female Beneficiaries | 1096 |
| Number Of Male Beneficiaries | 946 |
| Number Of Non Hispanic White Beneficiaries | 1963 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2019 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 23 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 6 |
| Percent Of With Depression | 9 |
| Percent Of With Diabetes | 17 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 44 |
| Percent Of With Ischemic Heart Disease | 26 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9091 |