National Provider Identifier [NPI]: |
1447205679 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
LEON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9231 MEDICAL PLAZA DR STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLESTON |
Zip Code Of The Provider |
294069101 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2483 |
Number Of Medicare Beneficiaries |
723 |
Total Submitted Charge Amount |
428956 |
Total Medicare Allowed Amount |
178678.42 |
Total Medicare Payment Amount |
131058.22 |
Total Medicare Standardized Payment Amount |
142790.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
4420 |
Total Drug Medicare AllowedAmount |
2754.31 |
Total Drug Medicare PaymentAmount |
1917.07 |
Total Drug Medicare Standardized Payment Amount |
1917.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2431 |
Number Of Medicare Beneficiaries With Medical Services |
723 |
Total Medical Submitted Charge Amount |
424536 |
Total Medical Medicare Allowed Amount |
175924.11 |
Total Medical Medicare Payment Amount |
129141.15 |
Total Medical Medicare Standardized Payment Amount |
140872.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
395 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
670 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4966 |