National Provider Identifier [NPI]: |
1972506244 |
Last Name Of The Provider |
LOMAN |
First Name Of The Provider |
LUSIANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14100 FIVAY RD |
Street Address 2 Of The Provider |
STE 250 |
City Of The Provider |
HUDSON |
Zip Code Of The Provider |
346677151 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5608 |
Number Of Medicare Beneficiaries |
1019 |
Total Submitted Charge Amount |
548165.87 |
Total Medicare Allowed Amount |
274731.94 |
Total Medicare Payment Amount |
201521.09 |
Total Medicare Standardized Payment Amount |
200598.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
980 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
29203 |
Total Drug Medicare AllowedAmount |
14101.62 |
Total Drug Medicare PaymentAmount |
11101.97 |
Total Drug Medicare Standardized Payment Amount |
11101.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
4628 |
Number Of Medicare Beneficiaries With Medical Services |
1019 |
Total Medical Submitted Charge Amount |
518962.87 |
Total Medical Medicare Allowed Amount |
260630.32 |
Total Medical Medicare Payment Amount |
190419.12 |
Total Medical Medicare Standardized Payment Amount |
189496.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
644 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
928 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
41 |
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 |
820 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9201 |