National Provider Identifier [NPI]: |
1639112147 |
Last Name Of The Provider |
LESNIK |
First Name Of The Provider |
ROBERT |
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 |
74090 EL PASEO |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
PALM DESERT |
Zip Code Of The Provider |
922604135 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
9508 |
Number Of Medicare Beneficiaries |
1653 |
Total Submitted Charge Amount |
1814036 |
Total Medicare Allowed Amount |
1286532.77 |
Total Medicare Payment Amount |
973428.32 |
Total Medicare Standardized Payment Amount |
823071.36 |
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 |
52 |
Number Of Medical Services |
9508 |
Number Of Medicare Beneficiaries With Medical Services |
1653 |
Total Medical Submitted Charge Amount |
1814036 |
Total Medical Medicare Allowed Amount |
1286532.77 |
Total Medical Medicare Payment Amount |
973428.32 |
Total Medical Medicare Standardized Payment Amount |
823071.36 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
667 |
Number Of Beneficiaries Age 75 to 84 |
614 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
778 |
Number Of Male Beneficiaries |
875 |
Number Of Non Hispanic White Beneficiaries |
1585 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9997 |