National Provider Identifier [NPI]: |
1184622417 |
Last Name Of The Provider |
LEFFERMAN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9233 W. PICO BLVD. |
Street Address 2 Of The Provider |
SUITE #230 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900351385 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
18291 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
1046403.2 |
Total Medicare Allowed Amount |
774567.6 |
Total Medicare Payment Amount |
617267.41 |
Total Medicare Standardized Payment Amount |
592572.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2470 |
Number Of Medicare Beneficiaries With Drug Services |
485 |
Total Drug Submitted ChargeAmount |
29950 |
Total Drug Medicare AllowedAmount |
18827.96 |
Total Drug Medicare PaymentAmount |
17009.85 |
Total Drug Medicare Standardized Payment Amount |
17009.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
15821 |
Number Of Medicare Beneficiaries With Medical Services |
682 |
Total Medical Submitted Charge Amount |
1016453.2 |
Total Medical Medicare Allowed Amount |
755739.64 |
Total Medical Medicare Payment Amount |
600257.56 |
Total Medical Medicare Standardized Payment Amount |
575562.62 |
Average Age Of Beneficiaries |
84 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
605 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0259 |