National Provider Identifier [NPI]: |
1639276207 |
Last Name Of The Provider |
LUCARELLI |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
92 GRAPE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BEDFORD |
Zip Code Of The Provider |
027402143 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4247 |
Number Of Medicare Beneficiaries |
1278 |
Total Submitted Charge Amount |
277310 |
Total Medicare Allowed Amount |
162372.26 |
Total Medicare Payment Amount |
114422.07 |
Total Medicare Standardized Payment Amount |
110280.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
800 |
Total Drug Medicare AllowedAmount |
572.33 |
Total Drug Medicare PaymentAmount |
424.8 |
Total Drug Medicare Standardized Payment Amount |
424.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
4147 |
Number Of Medicare Beneficiaries With Medical Services |
1278 |
Total Medical Submitted Charge Amount |
276510 |
Total Medical Medicare Allowed Amount |
161799.93 |
Total Medical Medicare Payment Amount |
113997.27 |
Total Medical Medicare Standardized Payment Amount |
109855.54 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
396 |
Number Of Beneficiaries Age Greater 84 |
366 |
Number Of Female Beneficiaries |
774 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
1137 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
94 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5273 |