National Provider Identifier [NPI]: |
1518949429 |
Last Name Of The Provider |
SESSLER |
First Name Of The Provider |
LONNIE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
136 HEALTH PARK DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MENA |
Zip Code Of The Provider |
719539072 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
7822 |
Number Of Medicare Beneficiaries |
1023 |
Total Submitted Charge Amount |
420367 |
Total Medicare Allowed Amount |
206908.93 |
Total Medicare Payment Amount |
150895.39 |
Total Medicare Standardized Payment Amount |
163383.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
767 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
10781 |
Total Drug Medicare AllowedAmount |
1613.83 |
Total Drug Medicare PaymentAmount |
1414.6 |
Total Drug Medicare Standardized Payment Amount |
1414.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7055 |
Number Of Medicare Beneficiaries With Medical Services |
1023 |
Total Medical Submitted Charge Amount |
409586 |
Total Medical Medicare Allowed Amount |
205295.1 |
Total Medical Medicare Payment Amount |
149480.79 |
Total Medical Medicare Standardized Payment Amount |
161969.25 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
626 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
997 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
747 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0547 |