National Provider Identifier [NPI]: |
1912904483 |
Last Name Of The Provider |
LEMENSE |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
266 JOULE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALCOA |
Zip Code Of The Provider |
377012422 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
2055 |
Number Of Medicare Beneficiaries |
421 |
Total Submitted Charge Amount |
274608 |
Total Medicare Allowed Amount |
170516.95 |
Total Medicare Payment Amount |
130262.46 |
Total Medicare Standardized Payment Amount |
140678.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
524 |
Total Drug Medicare AllowedAmount |
416.72 |
Total Drug Medicare PaymentAmount |
408.4 |
Total Drug Medicare Standardized Payment Amount |
408.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2033 |
Number Of Medicare Beneficiaries With Medical Services |
421 |
Total Medical Submitted Charge Amount |
274084 |
Total Medical Medicare Allowed Amount |
170100.23 |
Total Medical Medicare Payment Amount |
129854.06 |
Total Medical Medicare Standardized Payment Amount |
140270.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
196 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
22 |
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 |
319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.029 |