National Provider Identifier [NPI]: |
1285673293 |
Last Name Of The Provider |
LAWTON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 HEALTH CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BONITA SPRINGS |
Zip Code Of The Provider |
341358127 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
895 |
Number Of Medicare Beneficiaries |
771 |
Total Submitted Charge Amount |
279562 |
Total Medicare Allowed Amount |
48353.66 |
Total Medicare Payment Amount |
34511.48 |
Total Medicare Standardized Payment Amount |
33270.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
895 |
Number Of Medicare Beneficiaries With Medical Services |
771 |
Total Medical Submitted Charge Amount |
279562 |
Total Medical Medicare Allowed Amount |
48353.66 |
Total Medical Medicare Payment Amount |
34511.48 |
Total Medical Medicare Standardized Payment Amount |
33270.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
577 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3269 |