National Provider Identifier [NPI]: |
1982612990 |
Last Name Of The Provider |
LENSING |
First Name Of The Provider |
W |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5501 INDEPENDENCE PKWY |
Street Address 2 Of The Provider |
#203 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
75023 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2571 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
234642 |
Total Medicare Allowed Amount |
144000.6 |
Total Medicare Payment Amount |
109236.72 |
Total Medicare Standardized Payment Amount |
121497.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
250 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
10630 |
Total Drug Medicare AllowedAmount |
6247.31 |
Total Drug Medicare PaymentAmount |
6052.52 |
Total Drug Medicare Standardized Payment Amount |
6052.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2321 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
224012 |
Total Medical Medicare Allowed Amount |
137753.29 |
Total Medical Medicare Payment Amount |
103184.2 |
Total Medical Medicare Standardized Payment Amount |
115444.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
235 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
450 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7456 |