National Provider Identifier [NPI]: |
1629179973 |
Last Name Of The Provider |
LAMBERT |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4850 NORTH NINTH AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
32503 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
6525 |
Number Of Medicare Beneficiaries |
843 |
Total Submitted Charge Amount |
784491.42 |
Total Medicare Allowed Amount |
480728.04 |
Total Medicare Payment Amount |
356938.04 |
Total Medicare Standardized Payment Amount |
360136.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1198 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
41320.42 |
Total Drug Medicare AllowedAmount |
30136.78 |
Total Drug Medicare PaymentAmount |
23533.11 |
Total Drug Medicare Standardized Payment Amount |
23533.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
5327 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
743171 |
Total Medical Medicare Allowed Amount |
450591.26 |
Total Medical Medicare Payment Amount |
333404.93 |
Total Medical Medicare Standardized Payment Amount |
336602.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
163 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
756 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5746 |