National Provider Identifier [NPI]: |
1003912775 |
Last Name Of The Provider |
LAMB |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
148 SAULS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE CITY |
Zip Code Of The Provider |
295602631 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
5453 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
694066.81 |
Total Medicare Allowed Amount |
261411.72 |
Total Medicare Payment Amount |
187229.69 |
Total Medicare Standardized Payment Amount |
200927.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1197 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
43514 |
Total Drug Medicare AllowedAmount |
20568.67 |
Total Drug Medicare PaymentAmount |
17399.22 |
Total Drug Medicare Standardized Payment Amount |
17399.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4256 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
650552.81 |
Total Medical Medicare Allowed Amount |
240843.05 |
Total Medical Medicare Payment Amount |
169830.47 |
Total Medical Medicare Standardized Payment Amount |
183528.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0549 |