National Provider Identifier [NPI]: |
1699735571 |
Last Name Of The Provider |
LESTER |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10601 QUIVIRA RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662152310 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
5840 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
478343 |
Total Medicare Allowed Amount |
179989.31 |
Total Medicare Payment Amount |
144209.96 |
Total Medicare Standardized Payment Amount |
152470.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
987 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
56038 |
Total Drug Medicare AllowedAmount |
19437.77 |
Total Drug Medicare PaymentAmount |
16457.35 |
Total Drug Medicare Standardized Payment Amount |
16457.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4853 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
422305 |
Total Medical Medicare Allowed Amount |
160551.54 |
Total Medical Medicare Payment Amount |
127752.61 |
Total Medical Medicare Standardized Payment Amount |
136012.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9584 |