National Provider Identifier [NPI]: |
1346465549 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 MCFARLAND CIR N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354061800 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
282 |
Number Of Services |
14993 |
Number Of Medicare Beneficiaries |
3696 |
Total Submitted Charge Amount |
1204236.52 |
Total Medicare Allowed Amount |
377345.92 |
Total Medicare Payment Amount |
292746.55 |
Total Medicare Standardized Payment Amount |
318763.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9094 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
12306.82 |
Total Drug Medicare AllowedAmount |
2537.58 |
Total Drug Medicare PaymentAmount |
1979.94 |
Total Drug Medicare Standardized Payment Amount |
1979.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
278 |
Number Of Medical Services |
5899 |
Number Of Medicare Beneficiaries With Medical Services |
3696 |
Total Medical Submitted Charge Amount |
1191929.7 |
Total Medical Medicare Allowed Amount |
374808.34 |
Total Medical Medicare Payment Amount |
290766.61 |
Total Medical Medicare Standardized Payment Amount |
316783.95 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1004 |
Number Of Beneficiaries Age 65 to 74 |
1280 |
Number Of Beneficiaries Age 75 to 84 |
941 |
Number Of Beneficiaries Age Greater 84 |
471 |
Number Of Female Beneficiaries |
2248 |
Number Of Male Beneficiaries |
1448 |
Number Of Non Hispanic White Beneficiaries |
2608 |
Number Of Black or African American Beneficiaries |
1052 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
2459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1237 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0297 |