National Provider Identifier [NPI]: |
1578711305 |
Last Name Of The Provider |
LUCA |
First Name Of The Provider |
CORNELIU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 NW 14TH ST |
Street Address 2 Of The Provider |
SUITE 609 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331362137 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
7043 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
274373 |
Total Medicare Allowed Amount |
114148.58 |
Total Medicare Payment Amount |
85489.77 |
Total Medicare Standardized Payment Amount |
79209.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6404 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
66560 |
Total Drug Medicare AllowedAmount |
36441.19 |
Total Drug Medicare PaymentAmount |
28569.89 |
Total Drug Medicare Standardized Payment Amount |
28569.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
639 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
207813 |
Total Medical Medicare Allowed Amount |
77707.39 |
Total Medical Medicare Payment Amount |
56919.88 |
Total Medical Medicare Standardized Payment Amount |
50639.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
119 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
110 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
121 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0192 |