National Provider Identifier [NPI]: |
1831170646 |
Last Name Of The Provider |
LENHART |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 E 2ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEFIANCE |
Zip Code Of The Provider |
435122440 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
11225 |
Number Of Medicare Beneficiaries |
977 |
Total Submitted Charge Amount |
504435 |
Total Medicare Allowed Amount |
259596.04 |
Total Medicare Payment Amount |
198573.55 |
Total Medicare Standardized Payment Amount |
204652.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1158 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
43746 |
Total Drug Medicare AllowedAmount |
23191.81 |
Total Drug Medicare PaymentAmount |
20584.16 |
Total Drug Medicare Standardized Payment Amount |
20584.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
10067 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
460689 |
Total Medical Medicare Allowed Amount |
236404.23 |
Total Medical Medicare Payment Amount |
177989.39 |
Total Medical Medicare Standardized Payment Amount |
184068.48 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
914 |
Number Of Black or African American Beneficiaries |
|
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 |
819 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3316 |