National Provider Identifier [NPI]: |
1255310819 |
Last Name Of The Provider |
LEFLER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 HOLLYWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719017057 |
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 |
132 |
Number Of Services |
10288 |
Number Of Medicare Beneficiaries |
1126 |
Total Submitted Charge Amount |
480303.13 |
Total Medicare Allowed Amount |
356822.7 |
Total Medicare Payment Amount |
264083.93 |
Total Medicare Standardized Payment Amount |
274136.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
575 |
Number Of Medicare Beneficiaries With Drug Services |
313 |
Total Drug Submitted ChargeAmount |
15150.94 |
Total Drug Medicare AllowedAmount |
12115.17 |
Total Drug Medicare PaymentAmount |
11322.2 |
Total Drug Medicare Standardized Payment Amount |
11322.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
9713 |
Number Of Medicare Beneficiaries With Medical Services |
1125 |
Total Medical Submitted Charge Amount |
465152.19 |
Total Medical Medicare Allowed Amount |
344707.53 |
Total Medical Medicare Payment Amount |
252761.73 |
Total Medical Medicare Standardized Payment Amount |
262814.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
355 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
664 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
1064 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
974 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0704 |