National Provider Identifier [NPI]: |
1083864227 |
Last Name Of The Provider |
HARDI |
First Name Of The Provider |
LUCIA |
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 |
211 FOUNTAIN CT |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091888 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
703.5 |
Number Of Medicare Beneficiaries |
274 |
Total Submitted Charge Amount |
126532.07 |
Total Medicare Allowed Amount |
64375.74 |
Total Medicare Payment Amount |
46747.46 |
Total Medicare Standardized Payment Amount |
50845.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
33.5 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
310.07 |
Total Drug Medicare AllowedAmount |
98.18 |
Total Drug Medicare PaymentAmount |
74.71 |
Total Drug Medicare Standardized Payment Amount |
74.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
670 |
Number Of Medicare Beneficiaries With Medical Services |
274 |
Total Medical Submitted Charge Amount |
126222 |
Total Medical Medicare Allowed Amount |
64277.56 |
Total Medical Medicare Payment Amount |
46672.75 |
Total Medical Medicare Standardized Payment Amount |
50770.34 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
41 |
Number Of Non Hispanic White Beneficiaries |
254 |
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 |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.257 |