National Provider Identifier [NPI]: |
1932268265 |
Last Name Of The Provider |
LEMLEK |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 S HILLSIDE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672112157 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
7609.1 |
Number Of Medicare Beneficiaries |
787 |
Total Submitted Charge Amount |
1924867.08 |
Total Medicare Allowed Amount |
587809.06 |
Total Medicare Payment Amount |
447571.28 |
Total Medicare Standardized Payment Amount |
479196.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3573.1 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
80267.4 |
Total Drug Medicare AllowedAmount |
29357.08 |
Total Drug Medicare PaymentAmount |
22850.11 |
Total Drug Medicare Standardized Payment Amount |
22850.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4036 |
Number Of Medicare Beneficiaries With Medical Services |
787 |
Total Medical Submitted Charge Amount |
1844599.68 |
Total Medical Medicare Allowed Amount |
558451.98 |
Total Medical Medicare Payment Amount |
424721.17 |
Total Medical Medicare Standardized Payment Amount |
456346.43 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
402 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
56 |
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 |
551 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4228 |