National Provider Identifier [NPI]: |
1821265166 |
Last Name Of The Provider |
SCHLESINGER |
First Name Of The Provider |
KELLI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5800 W 10TH ST |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722041752 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5214 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
1008361.16 |
Total Medicare Allowed Amount |
197689.07 |
Total Medicare Payment Amount |
146493.69 |
Total Medicare Standardized Payment Amount |
169381 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4211 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
69180 |
Total Drug Medicare AllowedAmount |
23135.21 |
Total Drug Medicare PaymentAmount |
17905.84 |
Total Drug Medicare Standardized Payment Amount |
17905.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1003 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
939181.16 |
Total Medical Medicare Allowed Amount |
174553.86 |
Total Medical Medicare Payment Amount |
128587.85 |
Total Medical Medicare Standardized Payment Amount |
151475.16 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
427 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0347 |