National Provider Identifier [NPI]: |
1932169083 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
612 WASHINGTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELPRE |
Zip Code Of The Provider |
457142465 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
33593 |
Number Of Medicare Beneficiaries |
631 |
Total Submitted Charge Amount |
1395480 |
Total Medicare Allowed Amount |
773563.06 |
Total Medicare Payment Amount |
588217.29 |
Total Medicare Standardized Payment Amount |
624992.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1630 |
Number Of Medicare Beneficiaries With Drug Services |
350 |
Total Drug Submitted ChargeAmount |
29948 |
Total Drug Medicare AllowedAmount |
12393.55 |
Total Drug Medicare PaymentAmount |
11489.79 |
Total Drug Medicare Standardized Payment Amount |
11489.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
31963 |
Number Of Medicare Beneficiaries With Medical Services |
631 |
Total Medical Submitted Charge Amount |
1365532 |
Total Medical Medicare Allowed Amount |
761169.51 |
Total Medical Medicare Payment Amount |
576727.5 |
Total Medical Medicare Standardized Payment Amount |
613502.69 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
|
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 |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
44 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6884 |