National Provider Identifier [NPI]: |
1235305491 |
Last Name Of The Provider |
LOTT |
First Name Of The Provider |
BRITTON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 W SUNBRIDGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
727031825 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
6646 |
Number Of Medicare Beneficiaries |
3747 |
Total Submitted Charge Amount |
677513.28 |
Total Medicare Allowed Amount |
205069.58 |
Total Medicare Payment Amount |
162056.17 |
Total Medicare Standardized Payment Amount |
176596.13 |
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 |
180 |
Number Of Medical Services |
6646 |
Number Of Medicare Beneficiaries With Medical Services |
3747 |
Total Medical Submitted Charge Amount |
677513.28 |
Total Medical Medicare Allowed Amount |
205069.58 |
Total Medical Medicare Payment Amount |
162056.17 |
Total Medical Medicare Standardized Payment Amount |
176596.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
847 |
Number Of Beneficiaries Age 65 to 74 |
1541 |
Number Of Beneficiaries Age 75 to 84 |
969 |
Number Of Beneficiaries Age Greater 84 |
390 |
Number Of Female Beneficiaries |
2662 |
Number Of Male Beneficiaries |
1085 |
Number Of Non Hispanic White Beneficiaries |
3472 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2506 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1241 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3183 |