National Provider Identifier [NPI]: |
1932120441 |
Last Name Of The Provider |
LENZMEIER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20100 N 51ST AVE |
Street Address 2 Of The Provider |
STE F630 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
853085125 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2733 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
176859.02 |
Total Medicare Allowed Amount |
128387.03 |
Total Medicare Payment Amount |
90366.45 |
Total Medicare Standardized Payment Amount |
92229.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
742 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
17933.6 |
Total Drug Medicare AllowedAmount |
13980.42 |
Total Drug Medicare PaymentAmount |
12239.44 |
Total Drug Medicare Standardized Payment Amount |
12239.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1991 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
158925.42 |
Total Medical Medicare Allowed Amount |
114406.61 |
Total Medical Medicare Payment Amount |
78127.01 |
Total Medical Medicare Standardized Payment Amount |
79989.73 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8472 |