National Provider Identifier [NPI]: |
1972580397 |
Last Name Of The Provider |
LEMIRE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9401 SW HIGHWAY 200 |
Street Address 2 Of The Provider |
BUILDING 90 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344819612 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2582 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
159691 |
Total Medicare Allowed Amount |
123781.9 |
Total Medicare Payment Amount |
90496.8 |
Total Medicare Standardized Payment Amount |
90926.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1211 |
Total Drug Medicare AllowedAmount |
842.92 |
Total Drug Medicare PaymentAmount |
731.69 |
Total Drug Medicare Standardized Payment Amount |
731.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2548 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
158480 |
Total Medical Medicare Allowed Amount |
122938.98 |
Total Medical Medicare Payment Amount |
89765.11 |
Total Medical Medicare Standardized Payment Amount |
90194.4 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
492 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9108 |