National Provider Identifier [NPI]: |
1063497428 |
Last Name Of The Provider |
LOCKER |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 SE 16TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714656 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
9005.3 |
Number Of Medicare Beneficiaries |
1203 |
Total Submitted Charge Amount |
2584005.47 |
Total Medicare Allowed Amount |
741195.04 |
Total Medicare Payment Amount |
559206.7 |
Total Medicare Standardized Payment Amount |
551596.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3649.3 |
Number Of Medicare Beneficiaries With Drug Services |
460 |
Total Drug Submitted ChargeAmount |
60632.01 |
Total Drug Medicare AllowedAmount |
28841.05 |
Total Drug Medicare PaymentAmount |
22210.05 |
Total Drug Medicare Standardized Payment Amount |
22210.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
5356 |
Number Of Medicare Beneficiaries With Medical Services |
1203 |
Total Medical Submitted Charge Amount |
2523373.46 |
Total Medical Medicare Allowed Amount |
712353.99 |
Total Medical Medicare Payment Amount |
536996.65 |
Total Medical Medicare Standardized Payment Amount |
529386.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
629 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
1121 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0127 |