National Provider Identifier [NPI]: |
1548373491 |
Last Name Of The Provider |
LU |
First Name Of The Provider |
SCARLETT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1102 CORPORATE WAY |
Street Address 2 Of The Provider |
SUITE 170 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958313895 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
483 |
Number Of Medicare Beneficiaries |
175 |
Total Submitted Charge Amount |
41457 |
Total Medicare Allowed Amount |
31747.62 |
Total Medicare Payment Amount |
20666.13 |
Total Medicare Standardized Payment Amount |
20239.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
2126 |
Total Drug Medicare AllowedAmount |
1032.07 |
Total Drug Medicare PaymentAmount |
1002.69 |
Total Drug Medicare Standardized Payment Amount |
1002.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
427 |
Number Of Medicare Beneficiaries With Medical Services |
174 |
Total Medical Submitted Charge Amount |
39331 |
Total Medical Medicare Allowed Amount |
30715.55 |
Total Medical Medicare Payment Amount |
19663.44 |
Total Medical Medicare Standardized Payment Amount |
19236.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
79 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
123 |
Number Of Male Beneficiaries |
52 |
Number Of Non Hispanic White Beneficiaries |
64 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
49 |
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 |
94 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1934 |