National Provider Identifier [NPI]: |
1326026337 |
Last Name Of The Provider |
LUKENS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1317 N ELM ST |
Street Address 2 Of The Provider |
SUITE 1-B |
City Of The Provider |
GREENSBORO |
Zip Code Of The Provider |
274011023 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
7576 |
Number Of Medicare Beneficiaries |
4170 |
Total Submitted Charge Amount |
548999.16 |
Total Medicare Allowed Amount |
169601.38 |
Total Medicare Payment Amount |
128148.13 |
Total Medicare Standardized Payment Amount |
134311.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1478 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
801.16 |
Total Drug Medicare AllowedAmount |
288.87 |
Total Drug Medicare PaymentAmount |
226.5 |
Total Drug Medicare Standardized Payment Amount |
226.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
219 |
Number Of Medical Services |
6098 |
Number Of Medicare Beneficiaries With Medical Services |
4170 |
Total Medical Submitted Charge Amount |
548198 |
Total Medical Medicare Allowed Amount |
169312.51 |
Total Medical Medicare Payment Amount |
127921.63 |
Total Medical Medicare Standardized Payment Amount |
134084.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
954 |
Number Of Beneficiaries Age 65 to 74 |
1282 |
Number Of Beneficiaries Age 75 to 84 |
1186 |
Number Of Beneficiaries Age Greater 84 |
748 |
Number Of Female Beneficiaries |
2397 |
Number Of Male Beneficiaries |
1773 |
Number Of Non Hispanic White Beneficiaries |
3249 |
Number Of Black or African American Beneficiaries |
804 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1389 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9697 |