National Provider Identifier [NPI]: |
1770570335 |
Last Name Of The Provider |
LENK |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36100 EUCLID AVE |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
WILLOUGHBY |
Zip Code Of The Provider |
440944456 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4050 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
326606.2 |
Total Medicare Allowed Amount |
180720.86 |
Total Medicare Payment Amount |
145308.12 |
Total Medicare Standardized Payment Amount |
150081.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
200 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
21557 |
Total Drug Medicare AllowedAmount |
11644.73 |
Total Drug Medicare PaymentAmount |
11401.13 |
Total Drug Medicare Standardized Payment Amount |
11401.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3850 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
305049.2 |
Total Medical Medicare Allowed Amount |
169076.13 |
Total Medical Medicare Payment Amount |
133906.99 |
Total Medical Medicare Standardized Payment Amount |
138679.88 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
367 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4219 |