National Provider Identifier [NPI]: |
1801881917 |
Last Name Of The Provider |
LEMON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5950 UNIVERSITY AVE |
Street Address 2 Of The Provider |
STE 231 |
City Of The Provider |
WEST DES MOINES |
Zip Code Of The Provider |
502668216 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
8149 |
Number Of Medicare Beneficiaries |
3227 |
Total Submitted Charge Amount |
1409340.1 |
Total Medicare Allowed Amount |
543470.85 |
Total Medicare Payment Amount |
404852.21 |
Total Medicare Standardized Payment Amount |
437302.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
134 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
12580 |
Total Drug Medicare AllowedAmount |
6995.3 |
Total Drug Medicare PaymentAmount |
5422.82 |
Total Drug Medicare Standardized Payment Amount |
5422.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
8015 |
Number Of Medicare Beneficiaries With Medical Services |
3227 |
Total Medical Submitted Charge Amount |
1396760.1 |
Total Medical Medicare Allowed Amount |
536475.55 |
Total Medical Medicare Payment Amount |
399429.39 |
Total Medical Medicare Standardized Payment Amount |
431879.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
1115 |
Number Of Beneficiaries Age 75 to 84 |
1168 |
Number Of Beneficiaries Age Greater 84 |
668 |
Number Of Female Beneficiaries |
1548 |
Number Of Male Beneficiaries |
1679 |
Number Of Non Hispanic White Beneficiaries |
3115 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2804 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
423 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4465 |