National Provider Identifier [NPI]: |
1205944485 |
Last Name Of The Provider |
LOMBARDO |
First Name Of The Provider |
DAWN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 THE CITY DR S |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928683201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3783 |
Number Of Medicare Beneficiaries |
1932 |
Total Submitted Charge Amount |
512583 |
Total Medicare Allowed Amount |
158616.57 |
Total Medicare Payment Amount |
119100.52 |
Total Medicare Standardized Payment Amount |
110718.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3783 |
Number Of Medicare Beneficiaries With Medical Services |
1932 |
Total Medical Submitted Charge Amount |
512583 |
Total Medical Medicare Allowed Amount |
158616.57 |
Total Medical Medicare Payment Amount |
119100.52 |
Total Medical Medicare Standardized Payment Amount |
110718.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
307 |
Number Of Beneficiaries Age 65 to 74 |
729 |
Number Of Beneficiaries Age 75 to 84 |
633 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
1021 |
Number Of Male Beneficiaries |
911 |
Number Of Non Hispanic White Beneficiaries |
1095 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
353 |
Number Of Hispanic Beneficiaries |
386 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1087 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
845 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1394 |