National Provider Identifier [NPI]: |
1205834207 |
Last Name Of The Provider |
LOCAY |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D., P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2980 SE 3RD CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344710421 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
10106 |
Number Of Medicare Beneficiaries |
610 |
Total Submitted Charge Amount |
1950877.5 |
Total Medicare Allowed Amount |
661716.61 |
Total Medicare Payment Amount |
510951 |
Total Medicare Standardized Payment Amount |
526099.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7712 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
18257.8 |
Total Drug Medicare AllowedAmount |
1881.95 |
Total Drug Medicare PaymentAmount |
1391.98 |
Total Drug Medicare Standardized Payment Amount |
1391.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2394 |
Number Of Medicare Beneficiaries With Medical Services |
610 |
Total Medical Submitted Charge Amount |
1932619.7 |
Total Medical Medicare Allowed Amount |
659834.66 |
Total Medical Medicare Payment Amount |
509559.02 |
Total Medical Medicare Standardized Payment Amount |
524707.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
146 |
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 |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
220 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
5.2628 |