National Provider Identifier [NPI]: |
1871577627 |
Last Name Of The Provider |
LORANS |
First Name Of The Provider |
ROXANNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595404 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
7550 |
Number Of Medicare Beneficiaries |
3633 |
Total Submitted Charge Amount |
399179.62 |
Total Medicare Allowed Amount |
298184.33 |
Total Medicare Payment Amount |
238829.2 |
Total Medicare Standardized Payment Amount |
260063.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
545.38 |
Total Drug Medicare AllowedAmount |
437.75 |
Total Drug Medicare PaymentAmount |
321.25 |
Total Drug Medicare Standardized Payment Amount |
321.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
7282 |
Number Of Medicare Beneficiaries With Medical Services |
3633 |
Total Medical Submitted Charge Amount |
398634.24 |
Total Medical Medicare Allowed Amount |
297746.58 |
Total Medical Medicare Payment Amount |
238507.95 |
Total Medical Medicare Standardized Payment Amount |
259742.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
1676 |
Number Of Beneficiaries Age 75 to 84 |
1345 |
Number Of Beneficiaries Age Greater 84 |
414 |
Number Of Female Beneficiaries |
2467 |
Number Of Male Beneficiaries |
1166 |
Number Of Non Hispanic White Beneficiaries |
3385 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
3552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1371 |