National Provider Identifier [NPI]: |
1831188036 |
Last Name Of The Provider |
LAMOREAUX |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 W 5TH AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042966 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
18339 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
3614803.68 |
Total Medicare Allowed Amount |
1024789.29 |
Total Medicare Payment Amount |
797017.75 |
Total Medicare Standardized Payment Amount |
795303.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
13309 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
149498.44 |
Total Drug Medicare AllowedAmount |
27182.76 |
Total Drug Medicare PaymentAmount |
21212.75 |
Total Drug Medicare Standardized Payment Amount |
21212.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
5030 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
3465305.24 |
Total Medical Medicare Allowed Amount |
997606.53 |
Total Medical Medicare Payment Amount |
775805 |
Total Medical Medicare Standardized Payment Amount |
774090.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
68 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7056 |