National Provider Identifier [NPI]: |
1306804687 |
Last Name Of The Provider |
LAMBA |
First Name Of The Provider |
SUMANT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7011 A C SKINNER PKWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322566954 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
6279 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
742519 |
Total Medicare Allowed Amount |
363217.02 |
Total Medicare Payment Amount |
275319.22 |
Total Medicare Standardized Payment Amount |
277375.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2502 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3379 |
Total Drug Medicare AllowedAmount |
567.55 |
Total Drug Medicare PaymentAmount |
444.95 |
Total Drug Medicare Standardized Payment Amount |
444.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3777 |
Number Of Medicare Beneficiaries With Medical Services |
1099 |
Total Medical Submitted Charge Amount |
739140 |
Total Medical Medicare Allowed Amount |
362649.47 |
Total Medical Medicare Payment Amount |
274874.27 |
Total Medical Medicare Standardized Payment Amount |
276930.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
764 |
Number Of Black or African American Beneficiaries |
249 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
691 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
408 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4565 |