National Provider Identifier [NPI]: |
1235193459 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2222 E HIGHLAND AVE |
Street Address 2 Of The Provider |
SUITE # 130 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850164872 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
33673 |
Number Of Medicare Beneficiaries |
583 |
Total Submitted Charge Amount |
13398247 |
Total Medicare Allowed Amount |
2920408.75 |
Total Medicare Payment Amount |
2276220.65 |
Total Medicare Standardized Payment Amount |
2276899.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
22887 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
164970 |
Total Drug Medicare AllowedAmount |
23444.28 |
Total Drug Medicare PaymentAmount |
18270.94 |
Total Drug Medicare Standardized Payment Amount |
18270.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
10786 |
Number Of Medicare Beneficiaries With Medical Services |
583 |
Total Medical Submitted Charge Amount |
13233277 |
Total Medical Medicare Allowed Amount |
2896964.47 |
Total Medical Medicare Payment Amount |
2257949.71 |
Total Medical Medicare Standardized Payment Amount |
2258628.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
470 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.7891 |