National Provider Identifier [NPI]: |
1356410732 |
Last Name Of The Provider |
LESTER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2343 ALEXANDRIA DR |
Street Address 2 Of The Provider |
SUITE 225 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405043281 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
3855 |
Number Of Medicare Beneficiaries |
659 |
Total Submitted Charge Amount |
314695 |
Total Medicare Allowed Amount |
211020.74 |
Total Medicare Payment Amount |
160094.85 |
Total Medicare Standardized Payment Amount |
170780.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
590 |
Total Drug Medicare AllowedAmount |
157.74 |
Total Drug Medicare PaymentAmount |
152.53 |
Total Drug Medicare Standardized Payment Amount |
152.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
3833 |
Number Of Medicare Beneficiaries With Medical Services |
659 |
Total Medical Submitted Charge Amount |
314105 |
Total Medical Medicare Allowed Amount |
210863 |
Total Medical Medicare Payment Amount |
159942.32 |
Total Medical Medicare Standardized Payment Amount |
170628.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
|
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 |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.8135 |