Medicare Facts for Gary Lewis, LSW


National Provider Identifier [NPI]: 1740285774
Last Name Of The Provider LEWIS
First Name Of The Provider GARY
Middle Initial Of The Provider
Credentials Of The Provider LSW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 5TH ST
Street Address 2 Of The Provider
City Of The Provider SIOUX CITY
Zip Code Of The Provider 511011394
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 284
Number Of Medicare Beneficiaries 35
Total Submitted Charge Amount 31760
Total Medicare Allowed Amount 18075.77
Total Medicare Payment Amount 12856.23
Total Medicare Standardized Payment Amount 13714.83
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 2
Number Of Medical Services 284
Number Of Medicare Beneficiaries With Medical Services 35
Total Medical Submitted Charge Amount 31760
Total Medical Medicare Allowed Amount 18075.77
Total Medical Medicare Payment Amount 12856.23
Total Medical Medicare Standardized Payment Amount 13714.83
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 12
Number Of Male Beneficiaries 23
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 49
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3564

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