Medicare Facts for Mary L. Lokken, OTR


National Provider Identifier [NPI]: 1750365466
Last Name Of The Provider LOKKEN
First Name Of The Provider MARY
Middle Initial Of The Provider L
Credentials Of The Provider OTR
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 700 WEST AVE S
Street Address 2 Of The Provider
City Of The Provider LA CROSSE
Zip Code Of The Provider 546014783
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 765
Number Of Medicare Beneficiaries 123
Total Submitted Charge Amount 71173.25
Total Medicare Allowed Amount 22136.38
Total Medicare Payment Amount 16646.99
Total Medicare Standardized Payment Amount 10419.23
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 12
Number Of Medical Services 765
Number Of Medicare Beneficiaries With Medical Services 123
Total Medical Submitted Charge Amount 71173.25
Total Medical Medicare Allowed Amount 22136.38
Total Medical Medicare Payment Amount 16646.99
Total Medical Medicare Standardized Payment Amount 10419.23
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84 26
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 91
Number Of Male Beneficiaries 32
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 84
Number Of Beneficiaries With Medicare Medicaid Entitlement 39
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma
Percent Of With Cancer 24
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 27
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2267

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