National Provider Identifier [NPI]: |
1407159130 |
Last Name Of The Provider |
LEFLER |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3020 W ANN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH LAS VEGAS |
Zip Code Of The Provider |
890317259 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1143 |
Number Of Medicare Beneficiaries |
800 |
Total Submitted Charge Amount |
186864 |
Total Medicare Allowed Amount |
64838.76 |
Total Medicare Payment Amount |
38617.93 |
Total Medicare Standardized Payment Amount |
45644.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
3672 |
Total Drug Medicare AllowedAmount |
182.57 |
Total Drug Medicare PaymentAmount |
140.97 |
Total Drug Medicare Standardized Payment Amount |
140.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1013 |
Number Of Medicare Beneficiaries With Medical Services |
800 |
Total Medical Submitted Charge Amount |
183192 |
Total Medical Medicare Allowed Amount |
64656.19 |
Total Medical Medicare Payment Amount |
38476.96 |
Total Medical Medicare Standardized Payment Amount |
45503.99 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
736 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
746 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8744 |