National Provider Identifier [NPI]: |
1487969739 |
Last Name Of The Provider |
LEPKE |
First Name Of The Provider |
JOANN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
41 E LIPOA ST |
Street Address 2 Of The Provider |
SUITE 21 |
City Of The Provider |
KIHEI |
Zip Code Of The Provider |
967538148 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
463 |
Number Of Medicare Beneficiaries |
177 |
Total Submitted Charge Amount |
48057 |
Total Medicare Allowed Amount |
28790.41 |
Total Medicare Payment Amount |
20350.88 |
Total Medicare Standardized Payment Amount |
21475.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
531 |
Total Drug Medicare AllowedAmount |
211.48 |
Total Drug Medicare PaymentAmount |
187.56 |
Total Drug Medicare Standardized Payment Amount |
187.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
437 |
Number Of Medicare Beneficiaries With Medical Services |
177 |
Total Medical Submitted Charge Amount |
47526 |
Total Medical Medicare Allowed Amount |
28578.93 |
Total Medical Medicare Payment Amount |
20163.32 |
Total Medical Medicare Standardized Payment Amount |
21287.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
154 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
20 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8317 |