National Provider Identifier [NPI]: |
1013977420 |
Last Name Of The Provider |
OAS |
First Name Of The Provider |
LUTE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7812 GATEWAY BLVD E |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799151803 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
4460 |
Number Of Medicare Beneficiaries |
1223 |
Total Submitted Charge Amount |
2007127.72 |
Total Medicare Allowed Amount |
832188.1 |
Total Medicare Payment Amount |
646302.62 |
Total Medicare Standardized Payment Amount |
669884.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
6409.69 |
Total Drug Medicare AllowedAmount |
23.13 |
Total Drug Medicare PaymentAmount |
18.88 |
Total Drug Medicare Standardized Payment Amount |
18.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
4333 |
Number Of Medicare Beneficiaries With Medical Services |
1223 |
Total Medical Submitted Charge Amount |
2000718.03 |
Total Medical Medicare Allowed Amount |
832164.97 |
Total Medical Medicare Payment Amount |
646283.74 |
Total Medical Medicare Standardized Payment Amount |
669865.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
830 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
848 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
710 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
513 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8412 |