Medicare Facts for Dr. Michael K. Lai, MD


National Provider Identifier [NPI]: 1750318127
Last Name Of The Provider LAI
First Name Of The Provider MICHAEL
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1510 E MAIN ST
Street Address 2 Of The Provider SUITE #104
City Of The Provider SANTA MARIA
Zip Code Of The Provider 934544825
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 4325
Number Of Medicare Beneficiaries 1163
Total Submitted Charge Amount 688465
Total Medicare Allowed Amount 418400.94
Total Medicare Payment Amount 302230.07
Total Medicare Standardized Payment Amount 291876.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 838
Number Of Medicare Beneficiaries With Drug Services 101
Total Drug Submitted ChargeAmount 23445
Total Drug Medicare AllowedAmount 14740.92
Total Drug Medicare PaymentAmount 11779.89
Total Drug Medicare Standardized Payment Amount 11779.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 3487
Number Of Medicare Beneficiaries With Medical Services 1163
Total Medical Submitted Charge Amount 665020
Total Medical Medicare Allowed Amount 403660.02
Total Medical Medicare Payment Amount 290450.18
Total Medical Medicare Standardized Payment Amount 280096.55
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 144
Number Of Beneficiaries Age 65 to 74 550
Number Of Beneficiaries Age 75 to 84 348
Number Of Beneficiaries Age Greater 84 121
Number Of Female Beneficiaries 679
Number Of Male Beneficiaries 484
Number Of Non Hispanic White Beneficiaries 917
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries 39
Number Of Hispanic Beneficiaries 170
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 967
Number Of Beneficiaries With Medicare Medicaid Entitlement 196
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 18
Percent Of With Diabetes 62
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.2672

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