National Provider Identifier [NPI]: |
1801968334 |
Last Name Of The Provider |
LOWE |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
514 N PROSPECT AVE FL 4 |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDONDO BEACH |
Zip Code Of The Provider |
902773040 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
64274.5 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
1450540.8 |
Total Medicare Allowed Amount |
973983.24 |
Total Medicare Payment Amount |
759994.67 |
Total Medicare Standardized Payment Amount |
745105.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
60727.5 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
1174802.8 |
Total Drug Medicare AllowedAmount |
782658.34 |
Total Drug Medicare PaymentAmount |
612977.55 |
Total Drug Medicare Standardized Payment Amount |
612977.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3547 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
275738 |
Total Medical Medicare Allowed Amount |
191324.9 |
Total Medical Medicare Payment Amount |
147017.12 |
Total Medical Medicare Standardized Payment Amount |
132128.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
207 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6856 |