National Provider Identifier [NPI]: |
1417976192 |
Last Name Of The Provider |
LEMMING |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
540 LINCOLN PARK BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
KETTERING |
Zip Code Of The Provider |
454296401 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
230 |
Number Of Services |
3068 |
Number Of Medicare Beneficiaries |
2085 |
Total Submitted Charge Amount |
636745 |
Total Medicare Allowed Amount |
162526.07 |
Total Medicare Payment Amount |
125308.93 |
Total Medicare Standardized Payment Amount |
128191.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
230 |
Number Of Medical Services |
3068 |
Number Of Medicare Beneficiaries With Medical Services |
2085 |
Total Medical Submitted Charge Amount |
636745 |
Total Medical Medicare Allowed Amount |
162526.07 |
Total Medical Medicare Payment Amount |
125308.93 |
Total Medical Medicare Standardized Payment Amount |
128191.67 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
417 |
Number Of Beneficiaries Age 65 to 74 |
698 |
Number Of Beneficiaries Age 75 to 84 |
600 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
1155 |
Number Of Male Beneficiaries |
930 |
Number Of Non Hispanic White Beneficiaries |
1890 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
559 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1658 |