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Leah M Avera

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NPI Number Detailed Information

Provider Information:

Name: Leah M Avera
Gender: F
Provider License Number If Given: 35075085K

NPI Information:

NPI: 1003892399
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 12/19/2005
Last Update Date: 11/19/2020
Reputation Report:

Provider Business Mailing Address:

Address: 6147 STATE ROUTE 122 STE 200
Middletown, OH 45005
Phone Number: 5132613500
Fax Number: 5132613509

Provider Business Practice Location Address:

Address: 6147 STATE ROUTE 122 STE 200
Middletown, OH 45005
Phone Number: 5132613500
Fax Number: 5132613509

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: OH

Top Doctors in OH

 

About Leah M Avera

Leah M Avera ( LEAH M AVERA ) is Family Family Medicine Physician in Middletown, OH. The NPI Number for Leah M Avera is 1003892399.
The current location address for Leah M Avera is 6147 STATE ROUTE 122 STE 200 Middletown, OH 45005 and the contact number is 5132613500 and fax number is 5132613509. The mailing address for Leah M Avera is 6147 STATE ROUTE 122 STE 200 Middletown, OH 45005- 5132613500 (mailing address contact number - 5132613500).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Leah M Avera ?


Answer: The NPI Number for Leah M Avera is 1003892399

Where is Leah M Avera located?


Answer: Leah M Avera is located at 6147 STATE ROUTE 122 STE 200 Middletown, OH 45005.

What is the specialty for Leah M Avera ?


Answer: The Specialty of Leah M Avera is Family Family Medicine Physician.

Are there any online reviews for Leah M Avera ?


Answer: Yes! Check It Now.

Are there any other health care providers in Middletown, OH?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Leah M Avera

Number of HCPCS 43
Number of Medicare Beneficiaries 288
Number of Services 1631
Total Submitted Charge Amount 273667
Total Medicare Allowed Amount 130438.45
Total Medicare Payment Amount 93968.21
Total Medicare Standardized Payment Amount 98707.16
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 167
Number of Drug Services 250
Total Drug Submitted Charge Amount 25000
Total Drug Medicare Allowed Amount 14637.72
Total Drug Medicare Payment Amount 14608.76
Total Drug Medicare Standardized Payment Amount 14317.64
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 36
Number of Medicare Beneficiaries With Medical 288
Number of Medical Services 1381
Total Medical Submitted Charge Amount 248667
Total Medical Medicare Allowed Amount 115800.73
Total Medical Medicare Payment Amount 79359.45
Total Medical Medicare Standardized Payment Amount 84389.52
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 28
Number of Beneficiaries Age 65 to 74 157
Number of Beneficiaries Age 75 to 84 71
Number of Beneficiaries Age Greater 84 32
Number of Female Beneficiaries 208
Number of Male Beneficiaries 80
Number of Non-Hispanic White Beneficiaries 266
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 16
Number of Beneficiaries With Medicare Only Entitlement 272
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.4
Percent (%) of Beneficiaries Identified With Diabetes 0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.3547

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 10091
Number of Standardized 30-Day Fills 23352.733333
Aggregate Cost Paid for All Claims 1080268.11
Number of Day's Supply for All Claims 679692
Number of Medicare Beneficiaries 629
Number of Claims, Including Refills, for Beneficiaries Age 65+ 8772
Including Refills, for Beneficiaries Age 65+ 20436.633333
Beneficiaries Age 65+ 895844.36
Number of Day's Supply for All Claims for Beneficaries Age 65+ 595612
Number of Medicare Beneficiaries Age 65+ 537
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1326
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8648
Aggregate Cost Paid for Generic Drugs 190369.16
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 117
Aggregate Cost Paid for Other Drugs 5678.28
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 5745
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 638044.48
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4346
Aggregate Cost Paid for Claims Filled by 442223.63
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2471
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 338626.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 7620
by Low-Income Subsidy 741641.66
Total Claims of Opioid Drugs, Including 342
Aggregate Cost Paid for Opioid Drugs 6218.84
Opioid Claims 63
Opioid_Tot_Clms divided by the Tot_Clms 3.3891586562
Total Claims of Long-Acting Opioid Drugs 14
Aggregate Cost Paid for Long-Acting Opioid 354.26
Number of Day's Supply of All Long-Acting 420
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 4.0935672515
Total Claims of Antibiotic Drugs, Including 233
Aggregate Cost Paid for Antibiotic Drugs 3329.45
Antibiotic Claims 140
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 19
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 619.87
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.79491256
Number of Beneficiaries Age Less Than 65 92
Number of Beneficiaries Age 65 to 74 312
Number of Beneficiaries Age 75 to 84 157
Number of Female Beneficiaries 450
Number of Male Beneficiaries 179
Number of Non-Hispanic White 567
Number of Black or African American 36
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 14
Only Entitlement 532
Average Hierarchical Condition Category 1.3598184864

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