National Provider Identifier [NPI]: |
1548362833 |
Last Name Of The Provider |
LOWE |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4175 S CONGRESS AVE STE V |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
334614725 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
15353 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
3209378 |
Total Medicare Allowed Amount |
2787265.62 |
Total Medicare Payment Amount |
2154816.72 |
Total Medicare Standardized Payment Amount |
2098884.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1706 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
1366140 |
Total Drug Medicare AllowedAmount |
1277594.93 |
Total Drug Medicare PaymentAmount |
999617.38 |
Total Drug Medicare Standardized Payment Amount |
999617.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
13647 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
1843238 |
Total Medical Medicare Allowed Amount |
1509670.69 |
Total Medical Medicare Payment Amount |
1155199.34 |
Total Medical Medicare Standardized Payment Amount |
1099267.43 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
274 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
718 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6626 |