National Provider Identifier [NPI]: |
1780659789 |
Last Name Of The Provider |
LIPSKIS |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 KINGSLEY LN |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235054604 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5185 |
Number Of Medicare Beneficiaries |
2953 |
Total Submitted Charge Amount |
642579 |
Total Medicare Allowed Amount |
311456.29 |
Total Medicare Payment Amount |
236681.22 |
Total Medicare Standardized Payment Amount |
243307.69 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
433 |
Number Of Beneficiaries Age 65 to 74 |
1087 |
Number Of Beneficiaries Age 75 to 84 |
944 |
Number Of Beneficiaries Age Greater 84 |
489 |
Number Of Female Beneficiaries |
1433 |
Number Of Male Beneficiaries |
1520 |
Number Of Non Hispanic White Beneficiaries |
1915 |
Number Of Black or African American Beneficiaries |
917 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
484 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0309 |