| National Provider Identifier [NPI]: | 1548211493 |
| Last Name Of The Provider | LEAVY |
| First Name Of The Provider | JEFFREY |
| 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 | 210 W ATLANTIC AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HADDON HEIGHTS |
| Zip Code Of The Provider | 080351715 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 7316 |
| Number Of Medicare Beneficiaries | 3604 |
| Total Submitted Charge Amount | 856712.97 |
| Total Medicare Allowed Amount | 461377.55 |
| Total Medicare Payment Amount | 351069.83 |
| Total Medicare Standardized Payment Amount | 333004.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 971 |
| Number Of Medicare Beneficiaries With Drug Services | 58 |
| Total Drug Submitted ChargeAmount | 11934.97 |
| Total Drug Medicare AllowedAmount | 11777.85 |
| Total Drug Medicare PaymentAmount | 9233.84 |
| Total Drug Medicare Standardized Payment Amount | 9233.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 52 |
| Number Of Medical Services | 6345 |
| Number Of Medicare Beneficiaries With Medical Services | 3604 |
| Total Medical Submitted Charge Amount | 844778 |
| Total Medical Medicare Allowed Amount | 449599.7 |
| Total Medical Medicare Payment Amount | 341835.99 |
| Total Medical Medicare Standardized Payment Amount | 323770.52 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 464 |
| Number Of Beneficiaries Age 65 to 74 | 1168 |
| Number Of Beneficiaries Age 75 to 84 | 1102 |
| Number Of Beneficiaries Age Greater 84 | 870 |
| Number Of Female Beneficiaries | 2065 |
| Number Of Male Beneficiaries | 1539 |
| Number Of Non Hispanic White Beneficiaries | 2966 |
| Number Of Black or African American Beneficiaries | 430 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 116 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2972 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 632 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.9194 |