National Provider Identifier [NPI]: |
1467464834 |
Last Name Of The Provider |
LEONE |
First Name Of The Provider |
LUCIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2901 WEST RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
481832472 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
8956 |
Number Of Medicare Beneficiaries |
649 |
Total Submitted Charge Amount |
459810 |
Total Medicare Allowed Amount |
282442.27 |
Total Medicare Payment Amount |
219211.35 |
Total Medicare Standardized Payment Amount |
211707.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
474 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
13111 |
Total Drug Medicare AllowedAmount |
5760.65 |
Total Drug Medicare PaymentAmount |
5350.79 |
Total Drug Medicare Standardized Payment Amount |
5350.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
8482 |
Number Of Medicare Beneficiaries With Medical Services |
649 |
Total Medical Submitted Charge Amount |
446699 |
Total Medical Medicare Allowed Amount |
276681.62 |
Total Medical Medicare Payment Amount |
213860.56 |
Total Medical Medicare Standardized Payment Amount |
206356.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5932 |