National Provider Identifier [NPI]: |
1508860123 |
Last Name Of The Provider |
LOWE |
First Name Of The Provider |
TERRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 MILLSAPS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394021347 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
10916 |
Number Of Medicare Beneficiaries |
1015 |
Total Submitted Charge Amount |
523884.2 |
Total Medicare Allowed Amount |
289249.76 |
Total Medicare Payment Amount |
205014.93 |
Total Medicare Standardized Payment Amount |
224265.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2149 |
Number Of Medicare Beneficiaries With Drug Services |
330 |
Total Drug Submitted ChargeAmount |
31945.2 |
Total Drug Medicare AllowedAmount |
25293.53 |
Total Drug Medicare PaymentAmount |
20547.83 |
Total Drug Medicare Standardized Payment Amount |
20547.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
8767 |
Number Of Medicare Beneficiaries With Medical Services |
1015 |
Total Medical Submitted Charge Amount |
491939 |
Total Medical Medicare Allowed Amount |
263956.23 |
Total Medical Medicare Payment Amount |
184467.1 |
Total Medical Medicare Standardized Payment Amount |
203717.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
480 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
86 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
869 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9392 |