National Provider Identifier [NPI]: |
1841286697 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
35 CLYDE RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
088735033 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3276 |
Number Of Medicare Beneficiaries |
571 |
Total Submitted Charge Amount |
487312.37 |
Total Medicare Allowed Amount |
322303.23 |
Total Medicare Payment Amount |
246202 |
Total Medicare Standardized Payment Amount |
201692.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
229 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
3404 |
Total Drug Medicare AllowedAmount |
623.11 |
Total Drug Medicare PaymentAmount |
507.07 |
Total Drug Medicare Standardized Payment Amount |
507.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3047 |
Number Of Medicare Beneficiaries With Medical Services |
571 |
Total Medical Submitted Charge Amount |
483908.37 |
Total Medical Medicare Allowed Amount |
321680.12 |
Total Medical Medicare Payment Amount |
245694.93 |
Total Medical Medicare Standardized Payment Amount |
201185.8 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
500 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1054 |