National Provider Identifier [NPI]: |
1013979673 |
Last Name Of The Provider |
LEPOR |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
99 N LA CIENEGA BLVD |
Street Address 2 Of The Provider |
#203 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112222 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
59416 |
Number Of Medicare Beneficiaries |
1489 |
Total Submitted Charge Amount |
5887955 |
Total Medicare Allowed Amount |
1665499.77 |
Total Medicare Payment Amount |
1283649.27 |
Total Medicare Standardized Payment Amount |
1231492.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
52253 |
Number Of Medicare Beneficiaries With Drug Services |
656 |
Total Drug Submitted ChargeAmount |
402689 |
Total Drug Medicare AllowedAmount |
62121.22 |
Total Drug Medicare PaymentAmount |
48570.48 |
Total Drug Medicare Standardized Payment Amount |
48570.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
7163 |
Number Of Medicare Beneficiaries With Medical Services |
1489 |
Total Medical Submitted Charge Amount |
5485266 |
Total Medical Medicare Allowed Amount |
1603378.55 |
Total Medical Medicare Payment Amount |
1235078.79 |
Total Medical Medicare Standardized Payment Amount |
1182921.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
656 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
267 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
817 |
Number Of Non Hispanic White Beneficiaries |
1159 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
84 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4603 |