National Provider Identifier [NPI]: |
1396765293 |
Last Name Of The Provider |
LILLO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
#334 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515648 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3302 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
235961 |
Total Medicare Allowed Amount |
184129.84 |
Total Medicare Payment Amount |
127485.7 |
Total Medicare Standardized Payment Amount |
128748.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
369 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
12505 |
Total Drug Medicare AllowedAmount |
4761.92 |
Total Drug Medicare PaymentAmount |
4581.62 |
Total Drug Medicare Standardized Payment Amount |
4581.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2933 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
223456 |
Total Medical Medicare Allowed Amount |
179367.92 |
Total Medical Medicare Payment Amount |
122904.08 |
Total Medical Medicare Standardized Payment Amount |
124167.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
472 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9413 |