National Provider Identifier [NPI]: |
1235119447 |
Last Name Of The Provider |
LEIBOWITZ |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11120 NEW HAMPSHIRE AVE |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209042633 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5297 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
745361.35 |
Total Medicare Allowed Amount |
412170.27 |
Total Medicare Payment Amount |
317976.41 |
Total Medicare Standardized Payment Amount |
281284.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
8128 |
Total Drug Medicare AllowedAmount |
4847.33 |
Total Drug Medicare PaymentAmount |
4688.41 |
Total Drug Medicare Standardized Payment Amount |
4688.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5049 |
Number Of Medicare Beneficiaries With Medical Services |
1141 |
Total Medical Submitted Charge Amount |
737233.35 |
Total Medical Medicare Allowed Amount |
407322.94 |
Total Medical Medicare Payment Amount |
313288 |
Total Medical Medicare Standardized Payment Amount |
276595.75 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
530 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
341 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9651 |