National Provider Identifier [NPI]: |
1891775524 |
Last Name Of The Provider |
LEEDS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 SW HORNE ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666061711 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4713 |
Number Of Medicare Beneficiaries |
1284 |
Total Submitted Charge Amount |
1281667 |
Total Medicare Allowed Amount |
436590.27 |
Total Medicare Payment Amount |
333188.38 |
Total Medicare Standardized Payment Amount |
355588.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
155 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
8364 |
Total Drug Medicare AllowedAmount |
7064.24 |
Total Drug Medicare PaymentAmount |
6911.41 |
Total Drug Medicare Standardized Payment Amount |
6911.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4558 |
Number Of Medicare Beneficiaries With Medical Services |
1284 |
Total Medical Submitted Charge Amount |
1273303 |
Total Medical Medicare Allowed Amount |
429526.03 |
Total Medical Medicare Payment Amount |
326276.97 |
Total Medical Medicare Standardized Payment Amount |
348677.46 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
605 |
Number Of Non Hispanic White Beneficiaries |
1147 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1027 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3916 |