National Provider Identifier [NPI]: |
1386636769 |
Last Name Of The Provider |
LEONARD |
First Name Of The Provider |
HUBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9427 SW BARNES RD |
Street Address 2 Of The Provider |
SUITE 595 |
City Of The Provider |
PORTLAND |
Zip Code Of The Provider |
972256652 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
2277 |
Number Of Medicare Beneficiaries |
150 |
Total Submitted Charge Amount |
64593 |
Total Medicare Allowed Amount |
36632.95 |
Total Medicare Payment Amount |
25204.41 |
Total Medicare Standardized Payment Amount |
26427.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2000 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
17080 |
Total Drug Medicare AllowedAmount |
10884 |
Total Drug Medicare PaymentAmount |
7414.06 |
Total Drug Medicare Standardized Payment Amount |
7414.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
277 |
Number Of Medicare Beneficiaries With Medical Services |
150 |
Total Medical Submitted Charge Amount |
47513 |
Total Medical Medicare Allowed Amount |
25748.95 |
Total Medical Medicare Payment Amount |
17790.35 |
Total Medical Medicare Standardized Payment Amount |
19013.24 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
52 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
101 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1127 |