National Provider Identifier [NPI]: |
1023015096 |
Last Name Of The Provider |
LERNER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 E CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338803053 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
9432 |
Number Of Medicare Beneficiaries |
1038 |
Total Submitted Charge Amount |
1854252.37 |
Total Medicare Allowed Amount |
570902.49 |
Total Medicare Payment Amount |
428264.3 |
Total Medicare Standardized Payment Amount |
432881.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3776 |
Number Of Medicare Beneficiaries With Drug Services |
534 |
Total Drug Submitted ChargeAmount |
77743.72 |
Total Drug Medicare AllowedAmount |
39870.86 |
Total Drug Medicare PaymentAmount |
31160.98 |
Total Drug Medicare Standardized Payment Amount |
31160.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
5656 |
Number Of Medicare Beneficiaries With Medical Services |
1038 |
Total Medical Submitted Charge Amount |
1776508.65 |
Total Medical Medicare Allowed Amount |
531031.63 |
Total Medical Medicare Payment Amount |
397103.32 |
Total Medical Medicare Standardized Payment Amount |
401720.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
639 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
919 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
917 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2456 |