National Provider Identifier [NPI]: |
1780685172 |
Last Name Of The Provider |
LEPORE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326410 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
12796 |
Number Of Medicare Beneficiaries |
1382 |
Total Submitted Charge Amount |
2791983 |
Total Medicare Allowed Amount |
1214205.81 |
Total Medicare Payment Amount |
938002.02 |
Total Medicare Standardized Payment Amount |
939190.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
8340 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
8539 |
Total Drug Medicare AllowedAmount |
1439.67 |
Total Drug Medicare PaymentAmount |
1128.36 |
Total Drug Medicare Standardized Payment Amount |
1128.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
4456 |
Number Of Medicare Beneficiaries With Medical Services |
1382 |
Total Medical Submitted Charge Amount |
2783444 |
Total Medical Medicare Allowed Amount |
1212766.14 |
Total Medical Medicare Payment Amount |
936873.66 |
Total Medical Medicare Standardized Payment Amount |
938062.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
540 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
741 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.94 |