National Provider Identifier [NPI]: |
1568645950 |
Last Name Of The Provider |
LEBOVIC |
First Name Of The Provider |
DANIEL |
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 |
1203 LANGHORNE NEWTOWN RD STE 135 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANGHORNE |
Zip Code Of The Provider |
190471212 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
113075 |
Number Of Medicare Beneficiaries |
587 |
Total Submitted Charge Amount |
4011480 |
Total Medicare Allowed Amount |
2152863.41 |
Total Medicare Payment Amount |
1667740.6 |
Total Medicare Standardized Payment Amount |
1628057.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
105236 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
3067513 |
Total Drug Medicare AllowedAmount |
1699048.76 |
Total Drug Medicare PaymentAmount |
1315777.32 |
Total Drug Medicare Standardized Payment Amount |
1315777.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
7839 |
Number Of Medicare Beneficiaries With Medical Services |
587 |
Total Medical Submitted Charge Amount |
943967 |
Total Medical Medicare Allowed Amount |
453814.65 |
Total Medical Medicare Payment Amount |
351963.28 |
Total Medical Medicare Standardized Payment Amount |
312279.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
556 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2229 |