National Provider Identifier [NPI]: |
1780676114 |
Last Name Of The Provider |
LUKER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
627 25 1/2 RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND JUNCTION |
Zip Code Of The Provider |
815056401 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
1250 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
514556.44 |
Total Medicare Allowed Amount |
167980.03 |
Total Medicare Payment Amount |
125940.56 |
Total Medicare Standardized Payment Amount |
125651.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
3677.16 |
Total Drug Medicare AllowedAmount |
1189.69 |
Total Drug Medicare PaymentAmount |
889.75 |
Total Drug Medicare Standardized Payment Amount |
889.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
1102 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
510879.28 |
Total Medical Medicare Allowed Amount |
166790.34 |
Total Medical Medicare Payment Amount |
125050.81 |
Total Medical Medicare Standardized Payment Amount |
124761.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9176 |