National Provider Identifier [NPI]: |
1659377729 |
Last Name Of The Provider |
LIPKOWITZ |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4 PRINCESS RD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
LAWRENCEVILLE |
Zip Code Of The Provider |
086482322 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
8819 |
Number Of Medicare Beneficiaries |
952 |
Total Submitted Charge Amount |
4465701 |
Total Medicare Allowed Amount |
1830254.39 |
Total Medicare Payment Amount |
1402106.58 |
Total Medicare Standardized Payment Amount |
1376502.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3506 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
2610341 |
Total Drug Medicare AllowedAmount |
1252216.68 |
Total Drug Medicare PaymentAmount |
976899.23 |
Total Drug Medicare Standardized Payment Amount |
976899.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
5313 |
Number Of Medicare Beneficiaries With Medical Services |
952 |
Total Medical Submitted Charge Amount |
1855360 |
Total Medical Medicare Allowed Amount |
578037.71 |
Total Medical Medicare Payment Amount |
425207.35 |
Total Medical Medicare Standardized Payment Amount |
399602.91 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3887 |