National Provider Identifier [NPI]: |
1871671727 |
Last Name Of The Provider |
LUI |
First Name Of The Provider |
ALEC |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
275 18TH ST |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
32960 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
4544 |
Number Of Medicare Beneficiaries |
1939 |
Total Submitted Charge Amount |
1791845 |
Total Medicare Allowed Amount |
678426.41 |
Total Medicare Payment Amount |
533987.62 |
Total Medicare Standardized Payment Amount |
503079.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
515 |
Total Drug Medicare AllowedAmount |
235.03 |
Total Drug Medicare PaymentAmount |
162.8 |
Total Drug Medicare Standardized Payment Amount |
162.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4441 |
Number Of Medicare Beneficiaries With Medical Services |
1939 |
Total Medical Submitted Charge Amount |
1791330 |
Total Medical Medicare Allowed Amount |
678191.38 |
Total Medical Medicare Payment Amount |
533824.82 |
Total Medical Medicare Standardized Payment Amount |
502916.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
824 |
Number Of Beneficiaries Age 75 to 84 |
665 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
1088 |
Number Of Male Beneficiaries |
851 |
Number Of Non Hispanic White Beneficiaries |
1805 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3749 |