National Provider Identifier [NPI]: |
1427049568 |
Last Name Of The Provider |
LAU |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2330 E HIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
455051371 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
7264 |
Number Of Medicare Beneficiaries |
1688 |
Total Submitted Charge Amount |
2431105.8 |
Total Medicare Allowed Amount |
1002804.17 |
Total Medicare Payment Amount |
741220.08 |
Total Medicare Standardized Payment Amount |
764387.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1062 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
802554.8 |
Total Drug Medicare AllowedAmount |
387388.62 |
Total Drug Medicare PaymentAmount |
303712.2 |
Total Drug Medicare Standardized Payment Amount |
303712.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
6202 |
Number Of Medicare Beneficiaries With Medical Services |
1688 |
Total Medical Submitted Charge Amount |
1628551 |
Total Medical Medicare Allowed Amount |
615415.55 |
Total Medical Medicare Payment Amount |
437507.88 |
Total Medical Medicare Standardized Payment Amount |
460675.23 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
592 |
Number Of Beneficiaries Age Greater 84 |
433 |
Number Of Female Beneficiaries |
1058 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
1512 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2119 |