Medicare Facts for Eliza G. Lussier, MSPT


National Provider Identifier [NPI]: 1215981105
Last Name Of The Provider LUSSIER
First Name Of The Provider ELIZA
Middle Initial Of The Provider G
Credentials Of The Provider MSPT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 161 OCEAN ST
Street Address 2 Of The Provider
City Of The Provider SOUTH PORTLAND
Zip Code Of The Provider 041063623
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 843
Number Of Medicare Beneficiaries 32
Total Submitted Charge Amount 45817
Total Medicare Allowed Amount 22458.62
Total Medicare Payment Amount 17092.5
Total Medicare Standardized Payment Amount 13222.34
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 18
Number Of Medical Services 843
Number Of Medicare Beneficiaries With Medical Services 32
Total Medical Submitted Charge Amount 45817
Total Medical Medicare Allowed Amount 22458.62
Total Medical Medicare Payment Amount 17092.5
Total Medical Medicare Standardized Payment Amount 13222.34
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 13
Number Of Non Hispanic White Beneficiaries 32
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 38
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7581

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