National Provider Identifier [NPI]: |
1063447522 |
Last Name Of The Provider |
LIPSMAN |
First Name Of The Provider |
SAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P. M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6894 LAKE WORTH RD |
Street Address 2 Of The Provider |
SUITE #102 |
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
33467 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2962 |
Number Of Medicare Beneficiaries |
278 |
Total Submitted Charge Amount |
216286 |
Total Medicare Allowed Amount |
145236.77 |
Total Medicare Payment Amount |
111130.97 |
Total Medicare Standardized Payment Amount |
110278.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
618 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
4944 |
Total Drug Medicare AllowedAmount |
3530.67 |
Total Drug Medicare PaymentAmount |
2733.4 |
Total Drug Medicare Standardized Payment Amount |
2733.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2344 |
Number Of Medicare Beneficiaries With Medical Services |
278 |
Total Medical Submitted Charge Amount |
211342 |
Total Medical Medicare Allowed Amount |
141706.1 |
Total Medical Medicare Payment Amount |
108397.57 |
Total Medical Medicare Standardized Payment Amount |
107545.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
143 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
|
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4958 |