National Provider Identifier [NPI]: |
1215914841 |
Last Name Of The Provider |
LEMBERSKY |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
739 N FAIRFAX AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900467261 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
5196 |
Number Of Medicare Beneficiaries |
814 |
Total Submitted Charge Amount |
432130 |
Total Medicare Allowed Amount |
383830.9 |
Total Medicare Payment Amount |
297188.95 |
Total Medicare Standardized Payment Amount |
282092.03 |
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 |
30 |
Number Of Medical Services |
5196 |
Number Of Medicare Beneficiaries With Medical Services |
814 |
Total Medical Submitted Charge Amount |
432130 |
Total Medical Medicare Allowed Amount |
383830.9 |
Total Medical Medicare Payment Amount |
297188.95 |
Total Medical Medicare Standardized Payment Amount |
282092.03 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
645 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
58 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4511 |