National Provider Identifier [NPI]: |
1174531651 |
Last Name Of The Provider |
LUX |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 N 27TH ST |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
687014457 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
9955 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
563171 |
Total Medicare Allowed Amount |
328303 |
Total Medicare Payment Amount |
245151.79 |
Total Medicare Standardized Payment Amount |
261554.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2367 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
44238 |
Total Drug Medicare AllowedAmount |
33155.78 |
Total Drug Medicare PaymentAmount |
27500.06 |
Total Drug Medicare Standardized Payment Amount |
27500.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
7588 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
518933 |
Total Medical Medicare Allowed Amount |
295147.22 |
Total Medical Medicare Payment Amount |
217651.73 |
Total Medical Medicare Standardized Payment Amount |
234054.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
710 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1083 |