National Provider Identifier [NPI]: |
1487624920 |
Last Name Of The Provider |
LOMBARDO |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
576 WYOMING AVE |
Street Address 2 Of The Provider |
FRED LOMBARDO PC |
City Of The Provider |
KINGSTON |
Zip Code Of The Provider |
187043702 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
8354 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
617415 |
Total Medicare Allowed Amount |
288123.2 |
Total Medicare Payment Amount |
204969.11 |
Total Medicare Standardized Payment Amount |
216270.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
490 |
Total Drug Medicare AllowedAmount |
99.87 |
Total Drug Medicare PaymentAmount |
76.14 |
Total Drug Medicare Standardized Payment Amount |
76.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
8329 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
616925 |
Total Medical Medicare Allowed Amount |
288023.33 |
Total Medical Medicare Payment Amount |
204892.97 |
Total Medical Medicare Standardized Payment Amount |
216194.46 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
767 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4774 |