National Provider Identifier [NPI]: |
1538136387 |
Last Name Of The Provider |
LUCAS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
255 W LANCASTER AVE |
Street Address 2 Of The Provider |
120 PAOLI MOB II |
City Of The Provider |
PAOLI |
Zip Code Of The Provider |
193011763 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2677 |
Number Of Medicare Beneficiaries |
544 |
Total Submitted Charge Amount |
295951 |
Total Medicare Allowed Amount |
214515.49 |
Total Medicare Payment Amount |
169039.53 |
Total Medicare Standardized Payment Amount |
160855.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
371 |
Number Of Medicare Beneficiaries With Drug Services |
284 |
Total Drug Submitted ChargeAmount |
16991 |
Total Drug Medicare AllowedAmount |
12286.97 |
Total Drug Medicare PaymentAmount |
11819.05 |
Total Drug Medicare Standardized Payment Amount |
11819.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2306 |
Number Of Medicare Beneficiaries With Medical Services |
544 |
Total Medical Submitted Charge Amount |
278960 |
Total Medical Medicare Allowed Amount |
202228.52 |
Total Medical Medicare Payment Amount |
157220.48 |
Total Medical Medicare Standardized Payment Amount |
149036.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
509 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9572 |