National Provider Identifier [NPI]: |
1134301922 |
Last Name Of The Provider |
LEIGHTON |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
65 SOCKANOSSET CROSS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRANSTON |
Zip Code Of The Provider |
029205536 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
8857 |
Number Of Medicare Beneficiaries |
3269 |
Total Submitted Charge Amount |
926463.5 |
Total Medicare Allowed Amount |
226642.01 |
Total Medicare Payment Amount |
179428.52 |
Total Medicare Standardized Payment Amount |
175743.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3825 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
3157.5 |
Total Drug Medicare AllowedAmount |
869.71 |
Total Drug Medicare PaymentAmount |
681.88 |
Total Drug Medicare Standardized Payment Amount |
681.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
5032 |
Number Of Medicare Beneficiaries With Medical Services |
3269 |
Total Medical Submitted Charge Amount |
923306 |
Total Medical Medicare Allowed Amount |
225772.3 |
Total Medical Medicare Payment Amount |
178746.64 |
Total Medical Medicare Standardized Payment Amount |
175061.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
676 |
Number Of Beneficiaries Age 65 to 74 |
1154 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
651 |
Number Of Female Beneficiaries |
2111 |
Number Of Male Beneficiaries |
1158 |
Number Of Non Hispanic White Beneficiaries |
3015 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
2361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
908 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5703 |