National Provider Identifier [NPI]: |
1861497828 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6535 N CHARLES ST |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212045826 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
12664 |
Number Of Medicare Beneficiaries |
667 |
Total Submitted Charge Amount |
680207 |
Total Medicare Allowed Amount |
436279.03 |
Total Medicare Payment Amount |
344956.87 |
Total Medicare Standardized Payment Amount |
334687.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4276 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
79805 |
Total Drug Medicare AllowedAmount |
70715.55 |
Total Drug Medicare PaymentAmount |
54966.25 |
Total Drug Medicare Standardized Payment Amount |
54966.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
8388 |
Number Of Medicare Beneficiaries With Medical Services |
667 |
Total Medical Submitted Charge Amount |
600402 |
Total Medical Medicare Allowed Amount |
365563.48 |
Total Medical Medicare Payment Amount |
289990.62 |
Total Medical Medicare Standardized Payment Amount |
279721.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
525 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2565 |