National Provider Identifier [NPI]: |
1134169212 |
Last Name Of The Provider |
LAMB |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18099 LORAIN AVE |
Street Address 2 Of The Provider |
SUITE 141 |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441115610 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3251 |
Number Of Medicare Beneficiaries |
1012 |
Total Submitted Charge Amount |
637560 |
Total Medicare Allowed Amount |
272348.33 |
Total Medicare Payment Amount |
201621.15 |
Total Medicare Standardized Payment Amount |
207290.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
126042 |
Total Drug Medicare AllowedAmount |
65617.45 |
Total Drug Medicare PaymentAmount |
50649.1 |
Total Drug Medicare Standardized Payment Amount |
50649.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2949 |
Number Of Medicare Beneficiaries With Medical Services |
1012 |
Total Medical Submitted Charge Amount |
511518 |
Total Medical Medicare Allowed Amount |
206730.88 |
Total Medical Medicare Payment Amount |
150972.05 |
Total Medical Medicare Standardized Payment Amount |
156641.81 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
815 |
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
938 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2998 |