National Provider Identifier [NPI]: |
1326128547 |
Last Name Of The Provider |
LAWLOR |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2211 BROWN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
460164220 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
13311 |
Number Of Medicare Beneficiaries |
1256 |
Total Submitted Charge Amount |
775433 |
Total Medicare Allowed Amount |
433803.69 |
Total Medicare Payment Amount |
321144.96 |
Total Medicare Standardized Payment Amount |
323263.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
690 |
Number Of Medicare Beneficiaries With Drug Services |
533 |
Total Drug Submitted ChargeAmount |
18493 |
Total Drug Medicare AllowedAmount |
14366.76 |
Total Drug Medicare PaymentAmount |
13976.69 |
Total Drug Medicare Standardized Payment Amount |
13976.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
12621 |
Number Of Medicare Beneficiaries With Medical Services |
1256 |
Total Medical Submitted Charge Amount |
756940 |
Total Medical Medicare Allowed Amount |
419436.93 |
Total Medical Medicare Payment Amount |
307168.27 |
Total Medical Medicare Standardized Payment Amount |
309286.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
510 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
553 |
Number Of Non Hispanic White Beneficiaries |
1196 |
Number Of Black or African American Beneficiaries |
43 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.062 |