National Provider Identifier [NPI]: |
1881875144 |
Last Name Of The Provider |
LEHMANN-TAYLOR |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5708 E LAKE SAMMAMISH PKWY SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ISSAQUAH |
Zip Code Of The Provider |
980298942 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1534 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
207876.24 |
Total Medicare Allowed Amount |
86099.97 |
Total Medicare Payment Amount |
57069.31 |
Total Medicare Standardized Payment Amount |
54975.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
5340.26 |
Total Drug Medicare AllowedAmount |
3819.28 |
Total Drug Medicare PaymentAmount |
3735.4 |
Total Drug Medicare Standardized Payment Amount |
3735.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1433 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
202535.98 |
Total Medical Medicare Allowed Amount |
82280.69 |
Total Medical Medicare Payment Amount |
53333.91 |
Total Medical Medicare Standardized Payment Amount |
51240.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
399 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
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 |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8058 |