Medicare Facts for Dr. Leo G. Lasala, MD


National Provider Identifier [NPI]: 1831426618
Last Name Of The Provider LASALA
First Name Of The Provider LEO
Middle Initial Of The Provider G
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2241 ROMBACH AVE
Street Address 2 Of The Provider
City Of The Provider WILMINGTON
Zip Code Of The Provider 451771995
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 406
Number Of Medicare Beneficiaries 96
Total Submitted Charge Amount 57803.62
Total Medicare Allowed Amount 28754.29
Total Medicare Payment Amount 19930.45
Total Medicare Standardized Payment Amount 21221.98
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 51
Number Of Beneficiaries Age 65 to 74 29
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 46
Number Of Male Beneficiaries 50
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 34
Number Of Beneficiaries With Medicare Medicaid Entitlement 62
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 32
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 25
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3607

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