National Provider Identifier [NPI]: |
1215933502 |
Last Name Of The Provider |
LEBBY |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
SUTIE 110 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036224 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
6754 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
1864269 |
Total Medicare Allowed Amount |
634755.75 |
Total Medicare Payment Amount |
478159.59 |
Total Medicare Standardized Payment Amount |
492058.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1952 |
Number Of Medicare Beneficiaries With Drug Services |
367 |
Total Drug Submitted ChargeAmount |
210324 |
Total Drug Medicare AllowedAmount |
106152.56 |
Total Drug Medicare PaymentAmount |
81684.3 |
Total Drug Medicare Standardized Payment Amount |
81684.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4802 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
1653945 |
Total Medical Medicare Allowed Amount |
528603.19 |
Total Medical Medicare Payment Amount |
396475.29 |
Total Medical Medicare Standardized Payment Amount |
410374.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
389 |
Number Of Non Hispanic White Beneficiaries |
972 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
953 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1357 |