National Provider Identifier [NPI]: |
1932199791 |
Last Name Of The Provider |
LAMBERTS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 KENMOOR AVE SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495468622 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
4054 |
Number Of Medicare Beneficiaries |
799 |
Total Submitted Charge Amount |
301621.79 |
Total Medicare Allowed Amount |
198909.27 |
Total Medicare Payment Amount |
141784.63 |
Total Medicare Standardized Payment Amount |
141232.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
177 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
885 |
Total Drug Medicare AllowedAmount |
316.15 |
Total Drug Medicare PaymentAmount |
214.88 |
Total Drug Medicare Standardized Payment Amount |
214.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3877 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
300736.79 |
Total Medical Medicare Allowed Amount |
198593.12 |
Total Medical Medicare Payment Amount |
141569.75 |
Total Medical Medicare Standardized Payment Amount |
141017.59 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
366 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9549 |