National Provider Identifier [NPI]: |
1386639060 |
Last Name Of The Provider |
LOVELL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
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 231 |
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 |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
8800 |
Number Of Medicare Beneficiaries |
3314 |
Total Submitted Charge Amount |
1438847.7 |
Total Medicare Allowed Amount |
527357.36 |
Total Medicare Payment Amount |
393801.85 |
Total Medicare Standardized Payment Amount |
428768.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
8800 |
Number Of Medicare Beneficiaries With Medical Services |
3314 |
Total Medical Submitted Charge Amount |
1438847.7 |
Total Medical Medicare Allowed Amount |
527357.36 |
Total Medical Medicare Payment Amount |
393801.85 |
Total Medical Medicare Standardized Payment Amount |
428768.59 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
1012 |
Number Of Beneficiaries Age 75 to 84 |
1209 |
Number Of Beneficiaries Age Greater 84 |
784 |
Number Of Female Beneficiaries |
1655 |
Number Of Male Beneficiaries |
1659 |
Number Of Non Hispanic White Beneficiaries |
3188 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
491 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.597 |