National Provider Identifier [NPI]: |
1821027517 |
Last Name Of The Provider |
LESMES |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1879 NIGHTINGALE LN |
Street Address 2 Of The Provider |
STE C-1 |
City Of The Provider |
TAVARES |
Zip Code Of The Provider |
32778 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
11067 |
Number Of Medicare Beneficiaries |
2897 |
Total Submitted Charge Amount |
1695934.81 |
Total Medicare Allowed Amount |
1196964.64 |
Total Medicare Payment Amount |
913040.75 |
Total Medicare Standardized Payment Amount |
923307.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
955 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
51331.25 |
Total Drug Medicare AllowedAmount |
50584.55 |
Total Drug Medicare PaymentAmount |
39512.31 |
Total Drug Medicare Standardized Payment Amount |
39512.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
10112 |
Number Of Medicare Beneficiaries With Medical Services |
2897 |
Total Medical Submitted Charge Amount |
1644603.56 |
Total Medical Medicare Allowed Amount |
1146380.09 |
Total Medical Medicare Payment Amount |
873528.44 |
Total Medical Medicare Standardized Payment Amount |
883794.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
932 |
Number Of Beneficiaries Age 75 to 84 |
1248 |
Number Of Beneficiaries Age Greater 84 |
597 |
Number Of Female Beneficiaries |
1424 |
Number Of Male Beneficiaries |
1473 |
Number Of Non Hispanic White Beneficiaries |
2740 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2665 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
43 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.564 |