Medicare Facts for Dr. Mark A. Lewis, DDS


National Provider Identifier [NPI]: 1689613960
Last Name Of The Provider LEWIS
First Name Of The Provider MARK
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6301 UNIVERSITY COMMONS
Street Address 2 Of The Provider SUITE 310
City Of The Provider SOUTH BEND
Zip Code Of The Provider 466351571
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 97
Number Of Medicare Beneficiaries 57
Total Submitted Charge Amount 20937
Total Medicare Allowed Amount 9265.48
Total Medicare Payment Amount 6989.6
Total Medicare Standardized Payment Amount 7157.63
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 97
Number Of Medicare Beneficiaries With Medical Services 57
Total Medical Submitted Charge Amount 20937
Total Medical Medicare Allowed Amount 9265.48
Total Medical Medicare Payment Amount 6989.6
Total Medical Medicare Standardized Payment Amount 7157.63
Average Age Of Beneficiaries 44
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 33
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 21
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 39
Percent Of With Diabetes
Percent Of With Hyperlipidemia 23
Percent Of With Hypertension 33
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 21
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.2035

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