National Provider Identifier [NPI]: |
1396798484 |
Last Name Of The Provider |
LERNER |
First Name Of The Provider |
LEONID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 CORPORATE PLAZA DR |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926607905 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
29000 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
7235537 |
Total Medicare Allowed Amount |
4342717.27 |
Total Medicare Payment Amount |
3378648.55 |
Total Medicare Standardized Payment Amount |
3207383.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
6818 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
3300215 |
Total Drug Medicare AllowedAmount |
2590385.89 |
Total Drug Medicare PaymentAmount |
2022657.33 |
Total Drug Medicare Standardized Payment Amount |
2022657.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
22182 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
3935322 |
Total Medical Medicare Allowed Amount |
1752331.38 |
Total Medical Medicare Payment Amount |
1355991.22 |
Total Medical Medicare Standardized Payment Amount |
1184725.87 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
510 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3363 |