National Provider Identifier [NPI]: |
1275624264 |
Last Name Of The Provider |
LAM |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N HIATUS RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330265207 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
81154 |
Number Of Medicare Beneficiaries |
274 |
Total Submitted Charge Amount |
1890033.71 |
Total Medicare Allowed Amount |
1113906.74 |
Total Medicare Payment Amount |
862910.89 |
Total Medicare Standardized Payment Amount |
854737.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
78420 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
1568290 |
Total Drug Medicare AllowedAmount |
926411.82 |
Total Drug Medicare PaymentAmount |
723528.86 |
Total Drug Medicare Standardized Payment Amount |
723528.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2734 |
Number Of Medicare Beneficiaries With Medical Services |
274 |
Total Medical Submitted Charge Amount |
321743.71 |
Total Medical Medicare Allowed Amount |
187494.92 |
Total Medical Medicare Payment Amount |
139382.03 |
Total Medical Medicare Standardized Payment Amount |
131209.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
41 |
Number Of Non Hispanic White Beneficiaries |
91 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
143 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
141 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4213 |