National Provider Identifier [NPI]: |
1003839846 |
Last Name Of The Provider |
LU |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18575 GALE AVE STE 278 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CITY OF INDUSTRY |
Zip Code Of The Provider |
917481385 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3028 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
284000.16 |
Total Medicare Allowed Amount |
136491.65 |
Total Medicare Payment Amount |
102852.57 |
Total Medicare Standardized Payment Amount |
96272.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2225 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
64177.16 |
Total Drug Medicare AllowedAmount |
27387.12 |
Total Drug Medicare PaymentAmount |
21245.59 |
Total Drug Medicare Standardized Payment Amount |
21245.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
803 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
219823 |
Total Medical Medicare Allowed Amount |
109104.53 |
Total Medical Medicare Payment Amount |
81606.98 |
Total Medical Medicare Standardized Payment Amount |
75027.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
43 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
284 |
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 |
96 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.232 |