National Provider Identifier [NPI]: |
1922287564 |
Last Name Of The Provider |
LAMBERT |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7300 W COLLEGE DR |
Street Address 2 Of The Provider |
SUITE 1NW |
City Of The Provider |
PALOS HEIGHTS |
Zip Code Of The Provider |
604631152 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2680 |
Number Of Medicare Beneficiaries |
633 |
Total Submitted Charge Amount |
357537 |
Total Medicare Allowed Amount |
152718.7 |
Total Medicare Payment Amount |
111551.26 |
Total Medicare Standardized Payment Amount |
121982.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
88 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
18044 |
Total Drug Medicare AllowedAmount |
10883.05 |
Total Drug Medicare PaymentAmount |
8519.35 |
Total Drug Medicare Standardized Payment Amount |
8519.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2592 |
Number Of Medicare Beneficiaries With Medical Services |
633 |
Total Medical Submitted Charge Amount |
339493 |
Total Medical Medicare Allowed Amount |
141835.65 |
Total Medical Medicare Payment Amount |
103031.91 |
Total Medical Medicare Standardized Payment Amount |
113463.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
603 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9548 |