National Provider Identifier [NPI]: |
1316944192 |
Last Name Of The Provider |
LARSON |
First Name Of The Provider |
LAUREN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2416 REGENCY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405032954 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
11147 |
Number Of Medicare Beneficiaries |
1207 |
Total Submitted Charge Amount |
770401.93 |
Total Medicare Allowed Amount |
377236.85 |
Total Medicare Payment Amount |
318161.35 |
Total Medicare Standardized Payment Amount |
326598.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
232 |
Total Drug Medicare AllowedAmount |
93.41 |
Total Drug Medicare PaymentAmount |
71.07 |
Total Drug Medicare Standardized Payment Amount |
71.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
11119 |
Number Of Medicare Beneficiaries With Medical Services |
1207 |
Total Medical Submitted Charge Amount |
770169.93 |
Total Medical Medicare Allowed Amount |
377143.44 |
Total Medical Medicare Payment Amount |
318090.28 |
Total Medical Medicare Standardized Payment Amount |
326527.06 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
891 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
708 |
Number Of Male Beneficiaries |
499 |
Number Of Non Hispanic White Beneficiaries |
1140 |
Number Of Black or African American Beneficiaries |
50 |
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 |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
726 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.4636 |