| National Provider Identifier [NPI]: | 1205832698 |
| Last Name Of The Provider | LUCAS |
| First Name Of The Provider | EDDY |
| 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 | 3600 E HARRY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672183713 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 270 |
| Number Of Services | 7172 |
| Number Of Medicare Beneficiaries | 4981 |
| Total Submitted Charge Amount | 792205 |
| Total Medicare Allowed Amount | 235918.99 |
| Total Medicare Payment Amount | 182780.23 |
| Total Medicare Standardized Payment Amount | 191341.41 |
| 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 | 270 |
| Number Of Medical Services | 7172 |
| Number Of Medicare Beneficiaries With Medical Services | 4981 |
| Total Medical Submitted Charge Amount | 792205 |
| Total Medical Medicare Allowed Amount | 235918.99 |
| Total Medical Medicare Payment Amount | 182780.23 |
| Total Medical Medicare Standardized Payment Amount | 191341.41 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1003 |
| Number Of Beneficiaries Age 65 to 74 | 1586 |
| Number Of Beneficiaries Age 75 to 84 | 1456 |
| Number Of Beneficiaries Age Greater 84 | 936 |
| Number Of Female Beneficiaries | 2848 |
| Number Of Male Beneficiaries | 2133 |
| Number Of Non Hispanic White Beneficiaries | 4425 |
| Number Of Black or African American Beneficiaries | 292 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 154 |
| Number Of American Indian Alaska Native Beneficiaries | 39 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3705 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1276 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.801 |