National Provider Identifier [NPI]: |
1962499897 |
Last Name Of The Provider |
LU |
First Name Of The Provider |
HUA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6 BLACKSTONE VALLEY PL |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
028651179 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1543 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
119477.72 |
Total Medicare Allowed Amount |
84507.57 |
Total Medicare Payment Amount |
64518.43 |
Total Medicare Standardized Payment Amount |
62533.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
462.02 |
Total Drug Medicare AllowedAmount |
176.52 |
Total Drug Medicare PaymentAmount |
171.49 |
Total Drug Medicare Standardized Payment Amount |
171.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1528 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
119015.7 |
Total Medical Medicare Allowed Amount |
84331.05 |
Total Medical Medicare Payment Amount |
64346.94 |
Total Medical Medicare Standardized Payment Amount |
62362.18 |
Average Age Of Beneficiaries |
48 |
Number Of Beneficiaries Age Less65 |
460 |
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
83 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
480 |
Percent Of With Atrial Fibrillation |
2 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
74 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
62 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3218 |