National Provider Identifier [NPI]: |
1699763201 |
Last Name Of The Provider |
LAMERSON |
First Name Of The Provider |
CINDY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
650 SIERRA ROSE DR |
Street Address 2 Of The Provider |
STE. #A |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895112081 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7919 |
Number Of Medicare Beneficiaries |
1017 |
Total Submitted Charge Amount |
1356247.33 |
Total Medicare Allowed Amount |
658723.19 |
Total Medicare Payment Amount |
481049.27 |
Total Medicare Standardized Payment Amount |
468568.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
5130 |
Total Drug Medicare AllowedAmount |
4479.72 |
Total Drug Medicare PaymentAmount |
3484.87 |
Total Drug Medicare Standardized Payment Amount |
3484.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
7861 |
Number Of Medicare Beneficiaries With Medical Services |
1017 |
Total Medical Submitted Charge Amount |
1351117.33 |
Total Medical Medicare Allowed Amount |
654243.47 |
Total Medical Medicare Payment Amount |
477564.4 |
Total Medical Medicare Standardized Payment Amount |
465083.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
546 |
Number Of Beneficiaries Age 75 to 84 |
362 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
589 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
986 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8111 |