National Provider Identifier [NPI]: |
1558399980 |
Last Name Of The Provider |
ABEL |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10001 LILE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722056217 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
9063 |
Number Of Medicare Beneficiaries |
502 |
Total Submitted Charge Amount |
534474.95 |
Total Medicare Allowed Amount |
237563.22 |
Total Medicare Payment Amount |
200304.72 |
Total Medicare Standardized Payment Amount |
216039.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2023 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
70325.62 |
Total Drug Medicare AllowedAmount |
34155.84 |
Total Drug Medicare PaymentAmount |
32600.98 |
Total Drug Medicare Standardized Payment Amount |
32600.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
7040 |
Number Of Medicare Beneficiaries With Medical Services |
502 |
Total Medical Submitted Charge Amount |
464149.33 |
Total Medical Medicare Allowed Amount |
203407.38 |
Total Medical Medicare Payment Amount |
167703.74 |
Total Medical Medicare Standardized Payment Amount |
183438.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
482 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8631 |