National Provider Identifier [NPI]: |
1013075894 |
Last Name Of The Provider |
LUMAPAS |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12030 S OHIO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNNELLON |
Zip Code Of The Provider |
344317036 |
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 |
45 |
Number Of Services |
6243 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
686076 |
Total Medicare Allowed Amount |
487235.55 |
Total Medicare Payment Amount |
350081.27 |
Total Medicare Standardized Payment Amount |
350924.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
6760 |
Total Drug Medicare AllowedAmount |
1631.53 |
Total Drug Medicare PaymentAmount |
1543.14 |
Total Drug Medicare Standardized Payment Amount |
1543.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
6082 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
679316 |
Total Medical Medicare Allowed Amount |
485604.02 |
Total Medical Medicare Payment Amount |
348538.13 |
Total Medical Medicare Standardized Payment Amount |
349381.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
753 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0495 |