National Provider Identifier [NPI]: |
1114958501 |
Last Name Of The Provider |
LAPTALO |
First Name Of The Provider |
LUKO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 C ST |
Street Address 2 Of The Provider |
BLDG 500 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958163300 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
41941 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
4494639.02 |
Total Medicare Allowed Amount |
757740.76 |
Total Medicare Payment Amount |
588722.19 |
Total Medicare Standardized Payment Amount |
580792.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
38264 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
3883965.02 |
Total Drug Medicare AllowedAmount |
579953.27 |
Total Drug Medicare PaymentAmount |
454590.68 |
Total Drug Medicare Standardized Payment Amount |
454590.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3677 |
Number Of Medicare Beneficiaries With Medical Services |
451 |
Total Medical Submitted Charge Amount |
610674 |
Total Medical Medicare Allowed Amount |
177787.49 |
Total Medical Medicare Payment Amount |
134131.51 |
Total Medical Medicare Standardized Payment Amount |
126202.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
362 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7044 |