National Provider Identifier [NPI]: |
1215918511 |
Last Name Of The Provider |
LAMBERT |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
803 NORTH ST E |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLADEGA |
Zip Code Of The Provider |
351602529 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
2125 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
152203.54 |
Total Medicare Allowed Amount |
116318.94 |
Total Medicare Payment Amount |
80684.16 |
Total Medicare Standardized Payment Amount |
93386.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
537 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
4597.85 |
Total Drug Medicare AllowedAmount |
1517.25 |
Total Drug Medicare PaymentAmount |
1139.08 |
Total Drug Medicare Standardized Payment Amount |
1139.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
1588 |
Number Of Medicare Beneficiaries With Medical Services |
403 |
Total Medical Submitted Charge Amount |
147605.69 |
Total Medical Medicare Allowed Amount |
114801.69 |
Total Medical Medicare Payment Amount |
79545.08 |
Total Medical Medicare Standardized Payment Amount |
92247.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
349 |
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 |
310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0704 |