National Provider Identifier [NPI]: |
1902801384 |
Last Name Of The Provider |
LEFLER |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2333 MCCALLIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374043258 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
209 |
Number Of Services |
13777 |
Number Of Medicare Beneficiaries |
3140 |
Total Submitted Charge Amount |
1558093.12 |
Total Medicare Allowed Amount |
338661.38 |
Total Medicare Payment Amount |
266594.88 |
Total Medicare Standardized Payment Amount |
288846.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
9039 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
16514.87 |
Total Drug Medicare AllowedAmount |
5117.26 |
Total Drug Medicare PaymentAmount |
3891.45 |
Total Drug Medicare Standardized Payment Amount |
3891.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
4738 |
Number Of Medicare Beneficiaries With Medical Services |
3139 |
Total Medical Submitted Charge Amount |
1541578.25 |
Total Medical Medicare Allowed Amount |
333544.12 |
Total Medical Medicare Payment Amount |
262703.43 |
Total Medical Medicare Standardized Payment Amount |
284954.85 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
703 |
Number Of Beneficiaries Age 65 to 74 |
1327 |
Number Of Beneficiaries Age 75 to 84 |
793 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
2046 |
Number Of Male Beneficiaries |
1094 |
Number Of Non Hispanic White Beneficiaries |
2753 |
Number Of Black or African American Beneficiaries |
320 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
922 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.482 |