National Provider Identifier [NPI]: |
1821029760 |
Last Name Of The Provider |
LEE |
First Name Of The Provider |
FRANCO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6950 W DESERT INN RD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891173171 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2876 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
745483 |
Total Medicare Allowed Amount |
224079.03 |
Total Medicare Payment Amount |
169458.61 |
Total Medicare Standardized Payment Amount |
153281.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
795 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
8926 |
Total Drug Medicare AllowedAmount |
233.6 |
Total Drug Medicare PaymentAmount |
175.61 |
Total Drug Medicare Standardized Payment Amount |
175.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2081 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
736557 |
Total Medical Medicare Allowed Amount |
223845.43 |
Total Medical Medicare Payment Amount |
169283 |
Total Medical Medicare Standardized Payment Amount |
153105.92 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
157 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8548 |