National Provider Identifier [NPI]: |
1649265109 |
Last Name Of The Provider |
LORCH |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3131 PARISA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420034584 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5872 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
477325.85 |
Total Medicare Allowed Amount |
304616.19 |
Total Medicare Payment Amount |
222737.97 |
Total Medicare Standardized Payment Amount |
242856.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1817 |
Number Of Medicare Beneficiaries With Drug Services |
503 |
Total Drug Submitted ChargeAmount |
39807.85 |
Total Drug Medicare AllowedAmount |
15112.05 |
Total Drug Medicare PaymentAmount |
13514.37 |
Total Drug Medicare Standardized Payment Amount |
13514.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4055 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
437518 |
Total Medical Medicare Allowed Amount |
289504.14 |
Total Medical Medicare Payment Amount |
209223.6 |
Total Medical Medicare Standardized Payment Amount |
229341.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
|
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 |
549 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1649 |