| National Provider Identifier [NPI]: | 1003883539 |
| Last Name Of The Provider | LEONEN |
| First Name Of The Provider | MARLO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5325 ELLIOTT DR |
| Street Address 2 Of The Provider | SUITE 203 |
| City Of The Provider | YPSILANTI |
| Zip Code Of The Provider | 481978633 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 42 |
| Number Of Services | 9976 |
| Number Of Medicare Beneficiaries | 5130 |
| Total Submitted Charge Amount | 1077285 |
| Total Medicare Allowed Amount | 290057.65 |
| Total Medicare Payment Amount | 214080.19 |
| Total Medicare Standardized Payment Amount | 211203.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 9976 |
| Number Of Medicare Beneficiaries With Medical Services | 5130 |
| Total Medical Submitted Charge Amount | 1077285 |
| Total Medical Medicare Allowed Amount | 290057.65 |
| Total Medical Medicare Payment Amount | 214080.19 |
| Total Medical Medicare Standardized Payment Amount | 211203.78 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 797 |
| Number Of Beneficiaries Age 65 to 74 | 1761 |
| Number Of Beneficiaries Age 75 to 84 | 1543 |
| Number Of Beneficiaries Age Greater 84 | 1029 |
| Number Of Female Beneficiaries | 2768 |
| Number Of Male Beneficiaries | 2362 |
| Number Of Non Hispanic White Beneficiaries | 4415 |
| Number Of Black or African American Beneficiaries | 551 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4224 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 906 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8104 |