National Provider Identifier [NPI]: |
1013988260 |
Last Name Of The Provider |
HANDLER |
First Name Of The Provider |
LIONEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10105 BANBURRY CROSS DR |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
89144 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
15726 |
Number Of Medicare Beneficiaries |
2036 |
Total Submitted Charge Amount |
2669606 |
Total Medicare Allowed Amount |
1500262.25 |
Total Medicare Payment Amount |
1123941.69 |
Total Medicare Standardized Payment Amount |
1072739.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2125 |
Total Drug Medicare AllowedAmount |
152.84 |
Total Drug Medicare PaymentAmount |
96.96 |
Total Drug Medicare Standardized Payment Amount |
96.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
15641 |
Number Of Medicare Beneficiaries With Medical Services |
2036 |
Total Medical Submitted Charge Amount |
2667481 |
Total Medical Medicare Allowed Amount |
1500109.41 |
Total Medical Medicare Payment Amount |
1123844.73 |
Total Medical Medicare Standardized Payment Amount |
1072642.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
986 |
Number Of Beneficiaries Age 75 to 84 |
732 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
986 |
Number Of Male Beneficiaries |
1050 |
Number Of Non Hispanic White Beneficiaries |
1892 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1990 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0654 |