| National Provider Identifier [NPI]: | 1760640536 |
| Last Name Of The Provider | LEMPEL |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 13714 JEWEL AVE |
| Street Address 2 Of The Provider | APT 1A |
| City Of The Provider | FLUSHING |
| Zip Code Of The Provider | 113671961 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 9 |
| Number Of Services | 6595 |
| Number Of Medicare Beneficiaries | 4054 |
| Total Submitted Charge Amount | 726559.2 |
| Total Medicare Allowed Amount | 100570.65 |
| Total Medicare Payment Amount | 76454.54 |
| Total Medicare Standardized Payment Amount | 80298.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 175 |
| Number Of Medicare Beneficiaries With Drug Services | 25 |
| Total Drug Submitted ChargeAmount | 2020.2 |
| Total Drug Medicare AllowedAmount | 40.54 |
| Total Drug Medicare PaymentAmount | 31.87 |
| Total Drug Medicare Standardized Payment Amount | 31.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 8 |
| Number Of Medical Services | 6420 |
| Number Of Medicare Beneficiaries With Medical Services | 4054 |
| Total Medical Submitted Charge Amount | 724539 |
| Total Medical Medicare Allowed Amount | 100530.11 |
| Total Medical Medicare Payment Amount | 76422.67 |
| Total Medical Medicare Standardized Payment Amount | 80266.79 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 876 |
| Number Of Beneficiaries Age 65 to 74 | 1699 |
| Number Of Beneficiaries Age 75 to 84 | 1137 |
| Number Of Beneficiaries Age Greater 84 | 342 |
| Number Of Female Beneficiaries | 1806 |
| Number Of Male Beneficiaries | 2248 |
| Number Of Non Hispanic White Beneficiaries | 3268 |
| Number Of Black or African American Beneficiaries | 619 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 65 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 69 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3174 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 880 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 52 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.3736 |