National Provider Identifier [NPI]: |
1518949080 |
Last Name Of The Provider |
LOWRY |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1414 W FAIR AVE |
Street Address 2 Of The Provider |
SUITE 332 |
City Of The Provider |
MARQUETTE |
Zip Code Of The Provider |
498552675 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
39964 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
2592706.56 |
Total Medicare Allowed Amount |
1017543.99 |
Total Medicare Payment Amount |
783515.68 |
Total Medicare Standardized Payment Amount |
790824.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
37030 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
2124780 |
Total Drug Medicare AllowedAmount |
832813.48 |
Total Drug Medicare PaymentAmount |
646093.98 |
Total Drug Medicare Standardized Payment Amount |
646093.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2934 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
467926.56 |
Total Medical Medicare Allowed Amount |
184730.51 |
Total Medical Medicare Payment Amount |
137421.7 |
Total Medical Medicare Standardized Payment Amount |
144730.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
556 |
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 |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0406 |