National Provider Identifier [NPI]: |
1932199734 |
Last Name Of The Provider |
LYONS |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
312 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARSHALLTOWN |
Zip Code Of The Provider |
501581888 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
10933 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
682579.82 |
Total Medicare Allowed Amount |
326099.93 |
Total Medicare Payment Amount |
249100.29 |
Total Medicare Standardized Payment Amount |
268186.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1717 |
Number Of Medicare Beneficiaries With Drug Services |
341 |
Total Drug Submitted ChargeAmount |
14517 |
Total Drug Medicare AllowedAmount |
9587.81 |
Total Drug Medicare PaymentAmount |
9099.18 |
Total Drug Medicare Standardized Payment Amount |
9099.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
9216 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
668062.82 |
Total Medical Medicare Allowed Amount |
316512.12 |
Total Medical Medicare Payment Amount |
240001.11 |
Total Medical Medicare Standardized Payment Amount |
259086.99 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
365 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0289 |