National Provider Identifier [NPI]: |
1205903663 |
Last Name Of The Provider |
LEDGER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3231 S NATIONAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658077304 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3641 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
480739 |
Total Medicare Allowed Amount |
215411.99 |
Total Medicare Payment Amount |
148868.57 |
Total Medicare Standardized Payment Amount |
161354.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1149 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
162816 |
Total Drug Medicare AllowedAmount |
37568.11 |
Total Drug Medicare PaymentAmount |
28250.79 |
Total Drug Medicare Standardized Payment Amount |
28250.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2492 |
Number Of Medicare Beneficiaries With Medical Services |
1099 |
Total Medical Submitted Charge Amount |
317923 |
Total Medical Medicare Allowed Amount |
177843.88 |
Total Medical Medicare Payment Amount |
120617.78 |
Total Medical Medicare Standardized Payment Amount |
133104.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
700 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
1063 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
953 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4045 |