National Provider Identifier [NPI]: |
1184626673 |
Last Name Of The Provider |
LOWRY |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
127 E CRAWFORD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEOTONE |
Zip Code Of The Provider |
604689207 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2377 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
147555 |
Total Medicare Allowed Amount |
118568.18 |
Total Medicare Payment Amount |
81522.82 |
Total Medicare Standardized Payment Amount |
78738.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
6359 |
Total Drug Medicare AllowedAmount |
3174.26 |
Total Drug Medicare PaymentAmount |
3027.81 |
Total Drug Medicare Standardized Payment Amount |
3027.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2063 |
Number Of Medicare Beneficiaries With Medical Services |
400 |
Total Medical Submitted Charge Amount |
141196 |
Total Medical Medicare Allowed Amount |
115393.92 |
Total Medical Medicare Payment Amount |
78495.01 |
Total Medical Medicare Standardized Payment Amount |
75710.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
381 |
Number Of Black or African American Beneficiaries |
|
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 |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1785 |