National Provider Identifier [NPI]: |
1518977289 |
Last Name Of The Provider |
INDAR |
First Name Of The Provider |
LOKIE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
37900 DAUGHTERY ROAD |
Street Address 2 Of The Provider |
BAY AREA MEDICAL CLINIC P.A. |
City Of The Provider |
ZEPHYRHILLS |
Zip Code Of The Provider |
33541 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1404 |
Number Of Medicare Beneficiaries |
253 |
Total Submitted Charge Amount |
266180.57 |
Total Medicare Allowed Amount |
113496.25 |
Total Medicare Payment Amount |
82543.76 |
Total Medicare Standardized Payment Amount |
83987.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
140 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
2735.77 |
Total Drug Medicare AllowedAmount |
1103.96 |
Total Drug Medicare PaymentAmount |
1048.59 |
Total Drug Medicare Standardized Payment Amount |
1048.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1264 |
Number Of Medicare Beneficiaries With Medical Services |
253 |
Total Medical Submitted Charge Amount |
263444.8 |
Total Medical Medicare Allowed Amount |
112392.29 |
Total Medical Medicare Payment Amount |
81495.17 |
Total Medical Medicare Standardized Payment Amount |
82939.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
238 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3825 |