National Provider Identifier [NPI]: |
1295772911 |
Last Name Of The Provider |
LORA |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
351 NW LE JEUNE RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331265683 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4666 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
732499.05 |
Total Medicare Allowed Amount |
505066.69 |
Total Medicare Payment Amount |
389966.17 |
Total Medicare Standardized Payment Amount |
365289.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
5150 |
Total Drug Medicare AllowedAmount |
359.9 |
Total Drug Medicare PaymentAmount |
282.03 |
Total Drug Medicare Standardized Payment Amount |
282.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
4551 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
727349.05 |
Total Medical Medicare Allowed Amount |
504706.79 |
Total Medical Medicare Payment Amount |
389684.14 |
Total Medical Medicare Standardized Payment Amount |
365007.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
290 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
67 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
408 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
38 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
490 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
64 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
51 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.9912 |