National Provider Identifier [NPI]: |
1588616528 |
Last Name Of The Provider |
LEMPERT |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27700 MEDICAL CENTER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926916426 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
255 |
Number Of Services |
4789 |
Number Of Medicare Beneficiaries |
2128 |
Total Submitted Charge Amount |
885383.44 |
Total Medicare Allowed Amount |
285419.21 |
Total Medicare Payment Amount |
218347.04 |
Total Medicare Standardized Payment Amount |
203130.29 |
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 |
255 |
Number Of Medical Services |
4789 |
Number Of Medicare Beneficiaries With Medical Services |
2128 |
Total Medical Submitted Charge Amount |
885383.44 |
Total Medical Medicare Allowed Amount |
285419.21 |
Total Medical Medicare Payment Amount |
218347.04 |
Total Medical Medicare Standardized Payment Amount |
203130.29 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
636 |
Number Of Beneficiaries Age 75 to 84 |
675 |
Number Of Beneficiaries Age Greater 84 |
640 |
Number Of Female Beneficiaries |
1192 |
Number Of Male Beneficiaries |
936 |
Number Of Non Hispanic White Beneficiaries |
1866 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
72 |
Number Of Hispanic Beneficiaries |
134 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1830 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.8848 |