National Provider Identifier [NPI]: |
1528036589 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
PAUL |
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 |
301 SAINT PAUL ST |
Street Address 2 Of The Provider |
5TH FLOOR |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212022102 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
3343 |
Number Of Medicare Beneficiaries |
1284 |
Total Submitted Charge Amount |
1107307.35 |
Total Medicare Allowed Amount |
348008.86 |
Total Medicare Payment Amount |
263143.58 |
Total Medicare Standardized Payment Amount |
249467.75 |
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 |
110 |
Number Of Medical Services |
3343 |
Number Of Medicare Beneficiaries With Medical Services |
1284 |
Total Medical Submitted Charge Amount |
1107307.35 |
Total Medical Medicare Allowed Amount |
348008.86 |
Total Medical Medicare Payment Amount |
263143.58 |
Total Medical Medicare Standardized Payment Amount |
249467.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
786 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
670 |
Number Of Black or African American Beneficiaries |
577 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
942 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
342 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1335 |