National Provider Identifier [NPI]: |
1164406989 |
Last Name Of The Provider |
LUKACS |
First Name Of The Provider |
JOZSEF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
545 NE 47TH AVE |
Street Address 2 Of The Provider |
SUITE 215 |
City Of The Provider |
PORTLAND |
Zip Code Of The Provider |
972132238 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
2189 |
Number Of Medicare Beneficiaries |
1169 |
Total Submitted Charge Amount |
453552.2 |
Total Medicare Allowed Amount |
94069.4 |
Total Medicare Payment Amount |
70909.28 |
Total Medicare Standardized Payment Amount |
71485.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
222 |
Number Of Medical Services |
2189 |
Number Of Medicare Beneficiaries With Medical Services |
1169 |
Total Medical Submitted Charge Amount |
453552.2 |
Total Medical Medicare Allowed Amount |
94069.4 |
Total Medical Medicare Payment Amount |
70909.28 |
Total Medical Medicare Standardized Payment Amount |
71485.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
678 |
Number Of Male Beneficiaries |
491 |
Number Of Non Hispanic White Beneficiaries |
1028 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
373 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6695 |