| National Provider Identifier [NPI]: | 1861485757 |
| Last Name Of The Provider | LEW |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 511 MEDICAL PLAZA DR |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487326 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 62291 |
| Number Of Medicare Beneficiaries | 2131 |
| Total Submitted Charge Amount | 6651940.93 |
| Total Medicare Allowed Amount | 3852416.77 |
| Total Medicare Payment Amount | 2990224.73 |
| Total Medicare Standardized Payment Amount | 3041591.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 12 |
| Number Of Drug Services | 45981 |
| Number Of Medicare Beneficiaries With Drug Services | 566 |
| Total Drug Submitted ChargeAmount | 124567.2 |
| Total Drug Medicare AllowedAmount | 82513.82 |
| Total Drug Medicare PaymentAmount | 64490.08 |
| Total Drug Medicare Standardized Payment Amount | 64490.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 201 |
| Number Of Medical Services | 16310 |
| Number Of Medicare Beneficiaries With Medical Services | 2131 |
| Total Medical Submitted Charge Amount | 6527373.73 |
| Total Medical Medicare Allowed Amount | 3769902.95 |
| Total Medical Medicare Payment Amount | 2925734.65 |
| Total Medical Medicare Standardized Payment Amount | 2977101.49 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 68 |
| Number Of Beneficiaries Age 65 to 74 | 658 |
| Number Of Beneficiaries Age 75 to 84 | 983 |
| Number Of Beneficiaries Age Greater 84 | 422 |
| Number Of Female Beneficiaries | 915 |
| Number Of Male Beneficiaries | 1216 |
| Number Of Non Hispanic White Beneficiaries | 2030 |
| Number Of Black or African American Beneficiaries | 33 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2032 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 99 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5094 |