National Provider Identifier [NPI]: |
1811906282 |
Last Name Of The Provider |
LAFURIA |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2511 OLD CORNWALLIS RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
DURHAM |
Zip Code Of The Provider |
277131869 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2074 |
Number Of Medicare Beneficiaries |
294 |
Total Submitted Charge Amount |
351213.66 |
Total Medicare Allowed Amount |
298742.55 |
Total Medicare Payment Amount |
226473.99 |
Total Medicare Standardized Payment Amount |
276706.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1131.26 |
Total Drug Medicare AllowedAmount |
1129.27 |
Total Drug Medicare PaymentAmount |
1101.75 |
Total Drug Medicare Standardized Payment Amount |
1101.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2051 |
Number Of Medicare Beneficiaries With Medical Services |
294 |
Total Medical Submitted Charge Amount |
350082.4 |
Total Medical Medicare Allowed Amount |
297613.28 |
Total Medical Medicare Payment Amount |
225372.24 |
Total Medical Medicare Standardized Payment Amount |
275605.19 |
Average Age Of Beneficiaries |
86 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7621 |