National Provider Identifier [NPI]: |
1811925258 |
Last Name Of The Provider |
LAM |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4676 ADMIRALTY WAY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
MARINA DEL REY |
Zip Code Of The Provider |
902926601 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
68833 |
Number Of Medicare Beneficiaries |
720 |
Total Submitted Charge Amount |
5128558.5 |
Total Medicare Allowed Amount |
2852110.01 |
Total Medicare Payment Amount |
2253662.31 |
Total Medicare Standardized Payment Amount |
2222812.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
34 |
Number Of Drug Services |
49200 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
3441678.5 |
Total Drug Medicare AllowedAmount |
2126110.41 |
Total Drug Medicare PaymentAmount |
1656946.01 |
Total Drug Medicare Standardized Payment Amount |
1656946.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
19633 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
1686880 |
Total Medical Medicare Allowed Amount |
725999.6 |
Total Medical Medicare Payment Amount |
596716.3 |
Total Medical Medicare Standardized Payment Amount |
565866.26 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
638 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
75 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3727 |