National Provider Identifier [NPI]: |
1649350182 |
Last Name Of The Provider |
LOVIO |
First Name Of The Provider |
ROSE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 FREMONT STREET |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490173398 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1933 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
155487 |
Total Medicare Allowed Amount |
119797.29 |
Total Medicare Payment Amount |
93896.13 |
Total Medicare Standardized Payment Amount |
98095.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
313 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
18562 |
Total Drug Medicare AllowedAmount |
16971.58 |
Total Drug Medicare PaymentAmount |
16456.1 |
Total Drug Medicare Standardized Payment Amount |
16456.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1620 |
Number Of Medicare Beneficiaries With Medical Services |
484 |
Total Medical Submitted Charge Amount |
136925 |
Total Medical Medicare Allowed Amount |
102825.71 |
Total Medical Medicare Payment Amount |
77440.03 |
Total Medical Medicare Standardized Payment Amount |
81639.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
435 |
Number Of Black or African American Beneficiaries |
32 |
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 |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9618 |