National Provider Identifier [NPI]: |
1730182361 |
Last Name Of The Provider |
LIPMAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8679 CONNECTICUT ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464106383 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
24906 |
Number Of Medicare Beneficiaries |
1323 |
Total Submitted Charge Amount |
5973052.88 |
Total Medicare Allowed Amount |
5917323.64 |
Total Medicare Payment Amount |
4586800.62 |
Total Medicare Standardized Payment Amount |
4643751.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11859 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
4758776.79 |
Total Drug Medicare AllowedAmount |
4756157.78 |
Total Drug Medicare PaymentAmount |
3728440.59 |
Total Drug Medicare Standardized Payment Amount |
3728440.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
13047 |
Number Of Medicare Beneficiaries With Medical Services |
1323 |
Total Medical Submitted Charge Amount |
1214276.09 |
Total Medical Medicare Allowed Amount |
1161165.86 |
Total Medical Medicare Payment Amount |
858360.03 |
Total Medical Medicare Standardized Payment Amount |
915310.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
794 |
Number Of Male Beneficiaries |
529 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6133 |