National Provider Identifier [NPI]: |
1174508071 |
Last Name Of The Provider |
LUU |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2770 N UNION BLVD |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809091183 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
14512 |
Number Of Medicare Beneficiaries |
1330 |
Total Submitted Charge Amount |
5279649.12 |
Total Medicare Allowed Amount |
2058791.2 |
Total Medicare Payment Amount |
1568810.19 |
Total Medicare Standardized Payment Amount |
1558383.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3521 |
Number Of Medicare Beneficiaries With Drug Services |
479 |
Total Drug Submitted ChargeAmount |
2741283.78 |
Total Drug Medicare AllowedAmount |
925078.02 |
Total Drug Medicare PaymentAmount |
722127.02 |
Total Drug Medicare Standardized Payment Amount |
722127.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
10991 |
Number Of Medicare Beneficiaries With Medical Services |
1330 |
Total Medical Submitted Charge Amount |
2538365.34 |
Total Medical Medicare Allowed Amount |
1133713.18 |
Total Medical Medicare Payment Amount |
846683.17 |
Total Medical Medicare Standardized Payment Amount |
836256.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
477 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
787 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
1107 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.42 |