National Provider Identifier [NPI]: |
1548206717 |
Last Name Of The Provider |
LOTT |
First Name Of The Provider |
JIMMY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
970 LAKELAND DR |
Street Address 2 Of The Provider |
SUITE 61 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164635 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
8730 |
Number Of Medicare Beneficiaries |
2029 |
Total Submitted Charge Amount |
1337652.5 |
Total Medicare Allowed Amount |
372021.4 |
Total Medicare Payment Amount |
269398.61 |
Total Medicare Standardized Payment Amount |
293864.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2790 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
11427.5 |
Total Drug Medicare AllowedAmount |
7570.13 |
Total Drug Medicare PaymentAmount |
5923.49 |
Total Drug Medicare Standardized Payment Amount |
5923.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
5940 |
Number Of Medicare Beneficiaries With Medical Services |
2029 |
Total Medical Submitted Charge Amount |
1326225 |
Total Medical Medicare Allowed Amount |
364451.27 |
Total Medical Medicare Payment Amount |
263475.12 |
Total Medical Medicare Standardized Payment Amount |
287940.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
294 |
Number Of Beneficiaries Age 65 to 74 |
663 |
Number Of Beneficiaries Age 75 to 84 |
691 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
1046 |
Number Of Male Beneficiaries |
983 |
Number Of Non Hispanic White Beneficiaries |
1531 |
Number Of Black or African American Beneficiaries |
486 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
491 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7143 |