Medicare Facts for Camilo E. Lopez, PA


National Provider Identifier [NPI]: 1043253479
Last Name Of The Provider LOPEZ
First Name Of The Provider CAMILO
Middle Initial Of The Provider E
Credentials Of The Provider P.A
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10445 SW 128TH TER
Street Address 2 Of The Provider
City Of The Provider MIAMI
Zip Code Of The Provider 331765540
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 789
Number Of Medicare Beneficiaries 328
Total Submitted Charge Amount 100457
Total Medicare Allowed Amount 65965.29
Total Medicare Payment Amount 51602.73
Total Medicare Standardized Payment Amount 55652.12
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 8
Number Of Medical Services 789
Number Of Medicare Beneficiaries With Medical Services 328
Total Medical Submitted Charge Amount 100457
Total Medical Medicare Allowed Amount 65965.29
Total Medical Medicare Payment Amount 51602.73
Total Medical Medicare Standardized Payment Amount 55652.12
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 89
Number Of Beneficiaries Age 65 to 74 72
Number Of Beneficiaries Age 75 to 84 86
Number Of Beneficiaries Age Greater 84 81
Number Of Female Beneficiaries 177
Number Of Male Beneficiaries 151
Number Of Non Hispanic White Beneficiaries 61
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 232
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 41
Number Of Beneficiaries With Medicare Medicaid Entitlement 287
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 75
Percent Of With Asthma 18
Percent Of With Cancer 9
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 45
Percent Of With Chronic Obstructive Pulmonary Disease 56
Percent Of With Depression 75
Percent Of With Diabetes 55
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 75
Percent Of With Stroke 20
Average HCC Risk Score Of Beneficiaries 2.6135

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