National Provider Identifier [NPI]: |
1427033562 |
Last Name Of The Provider |
LEMMING |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 S PINE ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SEYMOUR |
Zip Code Of The Provider |
472742365 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
4758 |
Number Of Medicare Beneficiaries |
777 |
Total Submitted Charge Amount |
351578 |
Total Medicare Allowed Amount |
214581.1 |
Total Medicare Payment Amount |
156452.92 |
Total Medicare Standardized Payment Amount |
164093.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
256 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
14976 |
Total Drug Medicare AllowedAmount |
9922.02 |
Total Drug Medicare PaymentAmount |
9669.41 |
Total Drug Medicare Standardized Payment Amount |
9669.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
4502 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
336602 |
Total Medical Medicare Allowed Amount |
204659.08 |
Total Medical Medicare Payment Amount |
146783.51 |
Total Medical Medicare Standardized Payment Amount |
154423.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
337 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
758 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1125 |