National Provider Identifier [NPI]: |
1295921054 |
Last Name Of The Provider |
LOWEN |
First Name Of The Provider |
NATHANIEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1905 CLINT MOORE RD |
Street Address 2 Of The Provider |
SUITE 309 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334962658 |
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 |
72 |
Number Of Services |
26390 |
Number Of Medicare Beneficiaries |
1431 |
Total Submitted Charge Amount |
10368090.77 |
Total Medicare Allowed Amount |
2363162.53 |
Total Medicare Payment Amount |
1829456.56 |
Total Medicare Standardized Payment Amount |
1727927.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2739 |
Number Of Medicare Beneficiaries With Drug Services |
953 |
Total Drug Submitted ChargeAmount |
54780 |
Total Drug Medicare AllowedAmount |
15659.88 |
Total Drug Medicare PaymentAmount |
12272.66 |
Total Drug Medicare Standardized Payment Amount |
12272.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
23651 |
Number Of Medicare Beneficiaries With Medical Services |
1431 |
Total Medical Submitted Charge Amount |
10313310.77 |
Total Medical Medicare Allowed Amount |
2347502.65 |
Total Medical Medicare Payment Amount |
1817183.9 |
Total Medical Medicare Standardized Payment Amount |
1715654.47 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
640 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
903 |
Number Of Male Beneficiaries |
528 |
Number Of Non Hispanic White Beneficiaries |
1394 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4365 |