National Provider Identifier [NPI]: |
1811034184 |
Last Name Of The Provider |
LOKEY |
First Name Of The Provider |
BRYCE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 S NEVADA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTROSE |
Zip Code Of The Provider |
814014273 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
2815 |
Number Of Medicare Beneficiaries |
860 |
Total Submitted Charge Amount |
268416.88 |
Total Medicare Allowed Amount |
160530.26 |
Total Medicare Payment Amount |
123014.12 |
Total Medicare Standardized Payment Amount |
123071.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
267 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
6332 |
Total Drug Medicare AllowedAmount |
4374.2 |
Total Drug Medicare PaymentAmount |
3679.65 |
Total Drug Medicare Standardized Payment Amount |
3679.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2548 |
Number Of Medicare Beneficiaries With Medical Services |
860 |
Total Medical Submitted Charge Amount |
262084.88 |
Total Medical Medicare Allowed Amount |
156156.06 |
Total Medical Medicare Payment Amount |
119334.47 |
Total Medical Medicare Standardized Payment Amount |
119392.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
804 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2176 |