National Provider Identifier [NPI]: |
1417041849 |
Last Name Of The Provider |
HARF |
First Name Of The Provider |
LEO |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 FLAMINGO AVE E. |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
NAMPA |
Zip Code Of The Provider |
83687 |
State Code Of The Provider |
ID |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
10582 |
Number Of Medicare Beneficiaries |
1616 |
Total Submitted Charge Amount |
1597469.87 |
Total Medicare Allowed Amount |
1492319.39 |
Total Medicare Payment Amount |
1127145.52 |
Total Medicare Standardized Payment Amount |
1171776.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1919 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
761925.75 |
Total Drug Medicare AllowedAmount |
698220.77 |
Total Drug Medicare PaymentAmount |
538595.5 |
Total Drug Medicare Standardized Payment Amount |
538595.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
8663 |
Number Of Medicare Beneficiaries With Medical Services |
1616 |
Total Medical Submitted Charge Amount |
835544.12 |
Total Medical Medicare Allowed Amount |
794098.62 |
Total Medical Medicare Payment Amount |
588550.02 |
Total Medical Medicare Standardized Payment Amount |
633180.59 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
509 |
Number Of Beneficiaries Age 75 to 84 |
615 |
Number Of Beneficiaries Age Greater 84 |
423 |
Number Of Female Beneficiaries |
989 |
Number Of Male Beneficiaries |
627 |
Number Of Non Hispanic White Beneficiaries |
1547 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1683 |