National Provider Identifier [NPI]: |
1013002526 |
Last Name Of The Provider |
GREENE |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15300 JOG RD. |
Street Address 2 Of The Provider |
#205 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
33446 |
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 |
65 |
Number Of Services |
7171 |
Number Of Medicare Beneficiaries |
759 |
Total Submitted Charge Amount |
535747 |
Total Medicare Allowed Amount |
354567.66 |
Total Medicare Payment Amount |
274759.16 |
Total Medicare Standardized Payment Amount |
264344.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
2870 |
Total Drug Medicare AllowedAmount |
1770.46 |
Total Drug Medicare PaymentAmount |
1729.11 |
Total Drug Medicare Standardized Payment Amount |
1729.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7064 |
Number Of Medicare Beneficiaries With Medical Services |
759 |
Total Medical Submitted Charge Amount |
532877 |
Total Medical Medicare Allowed Amount |
352797.2 |
Total Medical Medicare Payment Amount |
273030.05 |
Total Medical Medicare Standardized Payment Amount |
262615.07 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
316 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
740 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4719 |