National Provider Identifier [NPI]: |
1093732737 |
Last Name Of The Provider |
LUTHER |
First Name Of The Provider |
RAJESHWAR |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11615 OLIVE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631417095 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
17458 |
Number Of Medicare Beneficiaries |
1888 |
Total Submitted Charge Amount |
820234.28 |
Total Medicare Allowed Amount |
316694.07 |
Total Medicare Payment Amount |
243246.42 |
Total Medicare Standardized Payment Amount |
255034.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14772 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
21056 |
Total Drug Medicare AllowedAmount |
5569.31 |
Total Drug Medicare PaymentAmount |
4245.87 |
Total Drug Medicare Standardized Payment Amount |
4245.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
1888 |
Total Medical Submitted Charge Amount |
799178.28 |
Total Medical Medicare Allowed Amount |
311124.76 |
Total Medical Medicare Payment Amount |
239000.55 |
Total Medical Medicare Standardized Payment Amount |
250788.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
317 |
Number Of Beneficiaries Age 65 to 74 |
917 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
1236 |
Number Of Male Beneficiaries |
652 |
Number Of Non Hispanic White Beneficiaries |
1538 |
Number Of Black or African American Beneficiaries |
299 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1679 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0991 |