National Provider Identifier [NPI]: |
1659598035 |
Last Name Of The Provider |
LACHEY |
First Name Of The Provider |
DIONNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4230 BURNHAM AVE |
Street Address 2 Of The Provider |
ASSOCIATED PATHOLOGISTS, CHARTERED |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891195408 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
2326 |
Number Of Medicare Beneficiaries |
1041 |
Total Submitted Charge Amount |
403985 |
Total Medicare Allowed Amount |
80915.9 |
Total Medicare Payment Amount |
63019.17 |
Total Medicare Standardized Payment Amount |
44860.66 |
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 |
20 |
Number Of Medical Services |
2326 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
403985 |
Total Medical Medicare Allowed Amount |
80915.9 |
Total Medical Medicare Payment Amount |
63019.17 |
Total Medical Medicare Standardized Payment Amount |
44860.66 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
475 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
99 |
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 |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5108 |