National Provider Identifier [NPI]: |
1609845627 |
Last Name Of The Provider |
LOZANO |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
841 KUHN DR STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHULA VISTA |
Zip Code Of The Provider |
919144523 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
7462 |
Number Of Medicare Beneficiaries |
1073 |
Total Submitted Charge Amount |
1029305.22 |
Total Medicare Allowed Amount |
829424.54 |
Total Medicare Payment Amount |
632456.32 |
Total Medicare Standardized Payment Amount |
616457.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
411 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
7345 |
Total Drug Medicare AllowedAmount |
2323.53 |
Total Drug Medicare PaymentAmount |
2174.98 |
Total Drug Medicare Standardized Payment Amount |
2174.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
7051 |
Number Of Medicare Beneficiaries With Medical Services |
1073 |
Total Medical Submitted Charge Amount |
1021960.22 |
Total Medical Medicare Allowed Amount |
827101.01 |
Total Medical Medicare Payment Amount |
630281.34 |
Total Medical Medicare Standardized Payment Amount |
614282.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
430 |
Number Of Non Hispanic White Beneficiaries |
390 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
90 |
Number Of Hispanic Beneficiaries |
518 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
534 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4599 |