National Provider Identifier [NPI]: |
1821104845 |
Last Name Of The Provider |
LLOYD |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 S BUENA VISTA ST |
Street Address 2 Of The Provider |
300 |
City Of The Provider |
BURBANK |
Zip Code Of The Provider |
915054569 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
1468 |
Number Of Medicare Beneficiaries |
142 |
Total Submitted Charge Amount |
130477.52 |
Total Medicare Allowed Amount |
73348.52 |
Total Medicare Payment Amount |
57233.17 |
Total Medicare Standardized Payment Amount |
53745.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
6805 |
Total Drug Medicare AllowedAmount |
3216.63 |
Total Drug Medicare PaymentAmount |
2540.29 |
Total Drug Medicare Standardized Payment Amount |
2540.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
1419 |
Number Of Medicare Beneficiaries With Medical Services |
142 |
Total Medical Submitted Charge Amount |
123672.52 |
Total Medical Medicare Allowed Amount |
70131.89 |
Total Medical Medicare Payment Amount |
54692.88 |
Total Medical Medicare Standardized Payment Amount |
51204.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
86 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
114 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2972 |