National Provider Identifier [NPI]: |
1912991381 |
Last Name Of The Provider |
LEDING |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7 SHACKLEFORD WEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722113714 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
7174 |
Number Of Medicare Beneficiaries |
1828 |
Total Submitted Charge Amount |
1520364.53 |
Total Medicare Allowed Amount |
436776.91 |
Total Medicare Payment Amount |
322092.44 |
Total Medicare Standardized Payment Amount |
354407.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
104 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
6552 |
Total Drug Medicare AllowedAmount |
5505.38 |
Total Drug Medicare PaymentAmount |
4316.17 |
Total Drug Medicare Standardized Payment Amount |
4316.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
7070 |
Number Of Medicare Beneficiaries With Medical Services |
1828 |
Total Medical Submitted Charge Amount |
1513812.53 |
Total Medical Medicare Allowed Amount |
431271.53 |
Total Medical Medicare Payment Amount |
317776.27 |
Total Medical Medicare Standardized Payment Amount |
350090.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
263 |
Number Of Beneficiaries Age 65 to 74 |
743 |
Number Of Beneficiaries Age 75 to 84 |
592 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
946 |
Number Of Male Beneficiaries |
882 |
Number Of Non Hispanic White Beneficiaries |
1723 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.291 |