National Provider Identifier [NPI]: |
1982608535 |
Last Name Of The Provider |
LUX |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 CHICAGO AVE SOUTH |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
554071320 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
12004 |
Number Of Medicare Beneficiaries |
355 |
Total Submitted Charge Amount |
538231 |
Total Medicare Allowed Amount |
269403.6 |
Total Medicare Payment Amount |
199774.26 |
Total Medicare Standardized Payment Amount |
201077.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
11133 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
304352 |
Total Drug Medicare AllowedAmount |
178463.93 |
Total Drug Medicare PaymentAmount |
133334.81 |
Total Drug Medicare Standardized Payment Amount |
133334.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
871 |
Number Of Medicare Beneficiaries With Medical Services |
355 |
Total Medical Submitted Charge Amount |
233879 |
Total Medical Medicare Allowed Amount |
90939.67 |
Total Medical Medicare Payment Amount |
66439.45 |
Total Medical Medicare Standardized Payment Amount |
67742.24 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
23 |
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 |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.2078 |