National Provider Identifier [NPI]: |
1821050022 |
Last Name Of The Provider |
ANDERSON |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
130 J F BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LONOKE |
Zip Code Of The Provider |
720869365 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
15386 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
734041.96 |
Total Medicare Allowed Amount |
356067.32 |
Total Medicare Payment Amount |
256127.7 |
Total Medicare Standardized Payment Amount |
281286.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
4674 |
Number Of Medicare Beneficiaries With Drug Services |
549 |
Total Drug Submitted ChargeAmount |
29493 |
Total Drug Medicare AllowedAmount |
12663.97 |
Total Drug Medicare PaymentAmount |
10545.34 |
Total Drug Medicare Standardized Payment Amount |
10545.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
10712 |
Number Of Medicare Beneficiaries With Medical Services |
874 |
Total Medical Submitted Charge Amount |
704548.96 |
Total Medical Medicare Allowed Amount |
343403.35 |
Total Medical Medicare Payment Amount |
245582.36 |
Total Medical Medicare Standardized Payment Amount |
270741.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
57 |
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 |
739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9603 |