National Provider Identifier [NPI]: |
1518148980 |
Last Name Of The Provider |
LAMBERT-DRWIEGA |
First Name Of The Provider |
APRIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
310 N STATE OF FRANKLIN RD |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376046008 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2505 |
Number Of Medicare Beneficiaries |
836 |
Total Submitted Charge Amount |
388390 |
Total Medicare Allowed Amount |
207273.47 |
Total Medicare Payment Amount |
160468.58 |
Total Medicare Standardized Payment Amount |
170365.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
3010 |
Total Drug Medicare AllowedAmount |
1645.07 |
Total Drug Medicare PaymentAmount |
1580.5 |
Total Drug Medicare Standardized Payment Amount |
1580.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2404 |
Number Of Medicare Beneficiaries With Medical Services |
834 |
Total Medical Submitted Charge Amount |
385380 |
Total Medical Medicare Allowed Amount |
205628.4 |
Total Medical Medicare Payment Amount |
158888.08 |
Total Medical Medicare Standardized Payment Amount |
168784.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
464 |
Number Of Male Beneficiaries |
372 |
Number Of Non Hispanic White Beneficiaries |
818 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
284 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1272 |