National Provider Identifier [NPI]: |
1295938975 |
Last Name Of The Provider |
LUO |
First Name Of The Provider |
LAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3310 SW 34TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344747422 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
20434 |
Number Of Medicare Beneficiaries |
2603 |
Total Submitted Charge Amount |
2058704.66 |
Total Medicare Allowed Amount |
1422544.76 |
Total Medicare Payment Amount |
1097619.75 |
Total Medicare Standardized Payment Amount |
1107315.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5072 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
31771 |
Total Drug Medicare AllowedAmount |
14518.38 |
Total Drug Medicare PaymentAmount |
11653.49 |
Total Drug Medicare Standardized Payment Amount |
11653.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
15362 |
Number Of Medicare Beneficiaries With Medical Services |
2603 |
Total Medical Submitted Charge Amount |
2026933.66 |
Total Medical Medicare Allowed Amount |
1408026.38 |
Total Medical Medicare Payment Amount |
1085966.26 |
Total Medical Medicare Standardized Payment Amount |
1095662.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
327 |
Number Of Beneficiaries Age 65 to 74 |
881 |
Number Of Beneficiaries Age 75 to 84 |
906 |
Number Of Beneficiaries Age Greater 84 |
489 |
Number Of Female Beneficiaries |
1464 |
Number Of Male Beneficiaries |
1139 |
Number Of Non Hispanic White Beneficiaries |
2262 |
Number Of Black or African American Beneficiaries |
207 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
525 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8502 |