National Provider Identifier [NPI]: |
1952530222 |
Last Name Of The Provider |
LOTT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
974 S ENOTA DR NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305012429 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
4399 |
Number Of Medicare Beneficiaries |
865 |
Total Submitted Charge Amount |
247953.33 |
Total Medicare Allowed Amount |
224932.68 |
Total Medicare Payment Amount |
163563.04 |
Total Medicare Standardized Payment Amount |
175090.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1787.27 |
Total Drug Medicare AllowedAmount |
1787.27 |
Total Drug Medicare PaymentAmount |
1237.06 |
Total Drug Medicare Standardized Payment Amount |
1237.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4385 |
Number Of Medicare Beneficiaries With Medical Services |
865 |
Total Medical Submitted Charge Amount |
246166.06 |
Total Medical Medicare Allowed Amount |
223145.41 |
Total Medical Medicare Payment Amount |
162325.98 |
Total Medical Medicare Standardized Payment Amount |
173852.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
793 |
Number Of Black or African American Beneficiaries |
|
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 |
794 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1408 |