National Provider Identifier [NPI]: |
1740278605 |
Last Name Of The Provider |
LOCKWOOD |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
240 N HIGHLAND AVE NE |
Street Address 2 Of The Provider |
BUILDING 3, SUITE E |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303075609 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5122 |
Number Of Medicare Beneficiaries |
577 |
Total Submitted Charge Amount |
479336 |
Total Medicare Allowed Amount |
154354.13 |
Total Medicare Payment Amount |
101513.52 |
Total Medicare Standardized Payment Amount |
102447.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2196 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
39687 |
Total Drug Medicare AllowedAmount |
2490.34 |
Total Drug Medicare PaymentAmount |
2104.07 |
Total Drug Medicare Standardized Payment Amount |
2104.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2926 |
Number Of Medicare Beneficiaries With Medical Services |
577 |
Total Medical Submitted Charge Amount |
439649 |
Total Medical Medicare Allowed Amount |
151863.79 |
Total Medical Medicare Payment Amount |
99409.45 |
Total Medical Medicare Standardized Payment Amount |
100343.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
230 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
150 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
499 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2416 |