National Provider Identifier [NPI]: |
1962664409 |
Last Name Of The Provider |
LEBED |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 EAST PLAZA DRIVE |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934546955 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
5474 |
Number Of Medicare Beneficiaries |
747 |
Total Submitted Charge Amount |
698244.28 |
Total Medicare Allowed Amount |
381479.66 |
Total Medicare Payment Amount |
289192.5 |
Total Medicare Standardized Payment Amount |
284869.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
983 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
36250.28 |
Total Drug Medicare AllowedAmount |
16411.45 |
Total Drug Medicare PaymentAmount |
12866.62 |
Total Drug Medicare Standardized Payment Amount |
12866.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
4491 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
661994 |
Total Medical Medicare Allowed Amount |
365068.21 |
Total Medical Medicare Payment Amount |
276325.88 |
Total Medical Medicare Standardized Payment Amount |
272003.29 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
548 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
163 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2432 |