| National Provider Identifier [NPI]: | 1093700197 |
| Last Name Of The Provider | LIEBERMAN |
| First Name Of The Provider | LAWRENCE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 315 75TH ST W |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRADENTON |
| Zip Code Of The Provider | 342093201 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 14668 |
| Number Of Medicare Beneficiaries | 6561 |
| Total Submitted Charge Amount | 536358 |
| Total Medicare Allowed Amount | 236518.96 |
| Total Medicare Payment Amount | 170798.59 |
| Total Medicare Standardized Payment Amount | 171405.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 436 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 5476 |
| Total Drug Medicare AllowedAmount | 2640.5 |
| Total Drug Medicare PaymentAmount | 2070.11 |
| Total Drug Medicare Standardized Payment Amount | 2070.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 14232 |
| Number Of Medicare Beneficiaries With Medical Services | 6561 |
| Total Medical Submitted Charge Amount | 530882 |
| Total Medical Medicare Allowed Amount | 233878.46 |
| Total Medical Medicare Payment Amount | 168728.48 |
| Total Medical Medicare Standardized Payment Amount | 169335.85 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 591 |
| Number Of Beneficiaries Age 65 to 74 | 1955 |
| Number Of Beneficiaries Age 75 to 84 | 2157 |
| Number Of Beneficiaries Age Greater 84 | 1858 |
| Number Of Female Beneficiaries | 3663 |
| Number Of Male Beneficiaries | 2898 |
| Number Of Non Hispanic White Beneficiaries | 6051 |
| Number Of Black or African American Beneficiaries | 234 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 192 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5477 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1084 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6919 |