National Provider Identifier [NPI]: |
1215921531 |
Last Name Of The Provider |
LYON |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 E VENICE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342923190 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
3898 |
Number Of Medicare Beneficiaries |
1637 |
Total Submitted Charge Amount |
485281.4 |
Total Medicare Allowed Amount |
180759.02 |
Total Medicare Payment Amount |
115612.63 |
Total Medicare Standardized Payment Amount |
117257.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
523 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
10785.1 |
Total Drug Medicare AllowedAmount |
1282.22 |
Total Drug Medicare PaymentAmount |
1020.89 |
Total Drug Medicare Standardized Payment Amount |
1020.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
3375 |
Number Of Medicare Beneficiaries With Medical Services |
1637 |
Total Medical Submitted Charge Amount |
474496.3 |
Total Medical Medicare Allowed Amount |
179476.8 |
Total Medical Medicare Payment Amount |
114591.74 |
Total Medical Medicare Standardized Payment Amount |
116236.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
706 |
Number Of Beneficiaries Age 75 to 84 |
606 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
953 |
Number Of Male Beneficiaries |
684 |
Number Of Non Hispanic White Beneficiaries |
1600 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9918 |