National Provider Identifier [NPI]: |
1144461682 |
Last Name Of The Provider |
LAMBOY |
First Name Of The Provider |
DIANA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
67 W 29TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
974053242 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
477 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
77040 |
Total Medicare Allowed Amount |
24152.76 |
Total Medicare Payment Amount |
14560.58 |
Total Medicare Standardized Payment Amount |
19347.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
538 |
Total Drug Medicare AllowedAmount |
46.25 |
Total Drug Medicare PaymentAmount |
35.28 |
Total Drug Medicare Standardized Payment Amount |
35.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
405 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
76502 |
Total Medical Medicare Allowed Amount |
24106.51 |
Total Medical Medicare Payment Amount |
14525.3 |
Total Medical Medicare Standardized Payment Amount |
19312.13 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
242 |
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 |
155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1271 |