National Provider Identifier [NPI]: |
1457356628 |
Last Name Of The Provider |
LEPKE |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 MONTCLAIR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352131908 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
5882 |
Number Of Medicare Beneficiaries |
2985 |
Total Submitted Charge Amount |
717911 |
Total Medicare Allowed Amount |
175963.75 |
Total Medicare Payment Amount |
136653.76 |
Total Medicare Standardized Payment Amount |
147380.87 |
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 |
196 |
Number Of Medical Services |
5882 |
Number Of Medicare Beneficiaries With Medical Services |
2985 |
Total Medical Submitted Charge Amount |
717911 |
Total Medical Medicare Allowed Amount |
175963.75 |
Total Medical Medicare Payment Amount |
136653.76 |
Total Medical Medicare Standardized Payment Amount |
147380.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
657 |
Number Of Beneficiaries Age 65 to 74 |
1043 |
Number Of Beneficiaries Age 75 to 84 |
865 |
Number Of Beneficiaries Age Greater 84 |
420 |
Number Of Female Beneficiaries |
1920 |
Number Of Male Beneficiaries |
1065 |
Number Of Non Hispanic White Beneficiaries |
2423 |
Number Of Black or African American Beneficiaries |
532 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
2343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
642 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5865 |