National Provider Identifier [NPI]: |
1043269236 |
Last Name Of The Provider |
LAMBERT |
First Name Of The Provider |
BRANDI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2209 N 2ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOONEVILLE |
Zip Code Of The Provider |
388297734 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3578 |
Number Of Medicare Beneficiaries |
212 |
Total Submitted Charge Amount |
76034.33 |
Total Medicare Allowed Amount |
49340.89 |
Total Medicare Payment Amount |
32627.82 |
Total Medicare Standardized Payment Amount |
37634.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
1901 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
10532 |
Total Drug Medicare AllowedAmount |
2130.19 |
Total Drug Medicare PaymentAmount |
1717.66 |
Total Drug Medicare Standardized Payment Amount |
1717.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1677 |
Number Of Medicare Beneficiaries With Medical Services |
212 |
Total Medical Submitted Charge Amount |
65502.33 |
Total Medical Medicare Allowed Amount |
47210.7 |
Total Medical Medicare Payment Amount |
30910.16 |
Total Medical Medicare Standardized Payment Amount |
35916.4 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8235 |