National Provider Identifier [NPI]: |
1366444143 |
Last Name Of The Provider |
LEM |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4321 WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 6000 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115961 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
10985 |
Number Of Medicare Beneficiaries |
732 |
Total Submitted Charge Amount |
830489.32 |
Total Medicare Allowed Amount |
393675.96 |
Total Medicare Payment Amount |
299430.21 |
Total Medicare Standardized Payment Amount |
301407.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
8264 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
399162.32 |
Total Drug Medicare AllowedAmount |
217934.83 |
Total Drug Medicare PaymentAmount |
169061.94 |
Total Drug Medicare Standardized Payment Amount |
169061.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2721 |
Number Of Medicare Beneficiaries With Medical Services |
732 |
Total Medical Submitted Charge Amount |
431327 |
Total Medical Medicare Allowed Amount |
175741.13 |
Total Medical Medicare Payment Amount |
130368.27 |
Total Medical Medicare Standardized Payment Amount |
132345.51 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
327 |
Number Of Non Hispanic White Beneficiaries |
660 |
Number Of Black or African American Beneficiaries |
51 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6296 |