National Provider Identifier [NPI]: |
1316098114 |
Last Name Of The Provider |
LEONARD |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 W 38TH ST |
Street Address 2 Of The Provider |
SUITE C-6 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787051121 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
4919 |
Number Of Medicare Beneficiaries |
203 |
Total Submitted Charge Amount |
279050 |
Total Medicare Allowed Amount |
169200.55 |
Total Medicare Payment Amount |
125231.72 |
Total Medicare Standardized Payment Amount |
126313.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3358 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
53060 |
Total Drug Medicare AllowedAmount |
28062.39 |
Total Drug Medicare PaymentAmount |
22172.44 |
Total Drug Medicare Standardized Payment Amount |
22172.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1561 |
Number Of Medicare Beneficiaries With Medical Services |
203 |
Total Medical Submitted Charge Amount |
225990 |
Total Medical Medicare Allowed Amount |
141138.16 |
Total Medical Medicare Payment Amount |
103059.28 |
Total Medical Medicare Standardized Payment Amount |
104141.18 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
43 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
57 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.541 |