National Provider Identifier [NPI]: |
1235350943 |
Last Name Of The Provider |
LOWERY |
First Name Of The Provider |
KEVIN |
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 |
1635 N GEORGE MASON DR |
Street Address 2 Of The Provider |
#215 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053601 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
20855 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
1087608.5 |
Total Medicare Allowed Amount |
584049.88 |
Total Medicare Payment Amount |
450445.61 |
Total Medicare Standardized Payment Amount |
393983.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
18612 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
28131.5 |
Total Drug Medicare AllowedAmount |
13719.88 |
Total Drug Medicare PaymentAmount |
10652.96 |
Total Drug Medicare Standardized Payment Amount |
10652.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2243 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
1059477 |
Total Medical Medicare Allowed Amount |
570330 |
Total Medical Medicare Payment Amount |
439792.65 |
Total Medical Medicare Standardized Payment Amount |
383330.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
98 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
4.0685 |