National Provider Identifier [NPI]: |
1801962329 |
Last Name Of The Provider |
LEHMANN |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3245 SOUTHWESTERN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORCHARD PARK |
Zip Code Of The Provider |
14217 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
339 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
22872.22 |
Total Medicare Allowed Amount |
20026.24 |
Total Medicare Payment Amount |
14023.36 |
Total Medicare Standardized Payment Amount |
16303.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
637.73 |
Total Drug Medicare AllowedAmount |
423.32 |
Total Drug Medicare PaymentAmount |
281.78 |
Total Drug Medicare Standardized Payment Amount |
281.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
326 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
22234.49 |
Total Medical Medicare Allowed Amount |
19602.92 |
Total Medical Medicare Payment Amount |
13741.58 |
Total Medical Medicare Standardized Payment Amount |
16022.03 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
188 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0757 |