National Provider Identifier [NPI]: |
1467568550 |
Last Name Of The Provider |
LESTER |
First Name Of The Provider |
DON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6085 N FIRST ST #101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105465 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
18415 |
Number Of Medicare Beneficiaries |
979 |
Total Submitted Charge Amount |
1917328 |
Total Medicare Allowed Amount |
973575.16 |
Total Medicare Payment Amount |
741954.83 |
Total Medicare Standardized Payment Amount |
693380.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7861 |
Number Of Medicare Beneficiaries With Drug Services |
723 |
Total Drug Submitted ChargeAmount |
431920 |
Total Drug Medicare AllowedAmount |
177508.14 |
Total Drug Medicare PaymentAmount |
138660.63 |
Total Drug Medicare Standardized Payment Amount |
138660.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
10554 |
Number Of Medicare Beneficiaries With Medical Services |
979 |
Total Medical Submitted Charge Amount |
1485408 |
Total Medical Medicare Allowed Amount |
796067.02 |
Total Medical Medicare Payment Amount |
603294.2 |
Total Medical Medicare Standardized Payment Amount |
554719.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
660 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
517 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
318 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
481 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.227 |