National Provider Identifier [NPI]: |
1700878683 |
Last Name Of The Provider |
LORENTSEN |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
755 NORLAND AVENUE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172011795 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
93945 |
Number Of Medicare Beneficiaries |
867 |
Total Submitted Charge Amount |
2475081.25 |
Total Medicare Allowed Amount |
1237138.6 |
Total Medicare Payment Amount |
954642.74 |
Total Medicare Standardized Payment Amount |
959501 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
82049 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
1742022.25 |
Total Drug Medicare AllowedAmount |
995066.99 |
Total Drug Medicare PaymentAmount |
772886.56 |
Total Drug Medicare Standardized Payment Amount |
772886.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
11896 |
Number Of Medicare Beneficiaries With Medical Services |
861 |
Total Medical Submitted Charge Amount |
733059 |
Total Medical Medicare Allowed Amount |
242071.61 |
Total Medical Medicare Payment Amount |
181756.18 |
Total Medical Medicare Standardized Payment Amount |
186614.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
724 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9589 |