National Provider Identifier [NPI]: |
1831207588 |
Last Name Of The Provider |
LUMKIN |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 FIR ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921012327 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
2089 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
389134 |
Total Medicare Allowed Amount |
139400.18 |
Total Medicare Payment Amount |
109735.4 |
Total Medicare Standardized Payment Amount |
102943.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1740 |
Total Drug Medicare AllowedAmount |
291.37 |
Total Drug Medicare PaymentAmount |
228.46 |
Total Drug Medicare Standardized Payment Amount |
228.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
1908 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
387394 |
Total Medical Medicare Allowed Amount |
139108.81 |
Total Medical Medicare Payment Amount |
109506.94 |
Total Medical Medicare Standardized Payment Amount |
102714.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
612 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
920 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
826 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
92 |
Number Of Hispanic Beneficiaries |
217 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
984 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1573 |