National Provider Identifier [NPI]: |
1205832185 |
Last Name Of The Provider |
LAM |
First Name Of The Provider |
LING |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3900 PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDISON |
Zip Code Of The Provider |
088203032 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
13489 |
Number Of Medicare Beneficiaries |
2666 |
Total Submitted Charge Amount |
1174261.46 |
Total Medicare Allowed Amount |
350821.32 |
Total Medicare Payment Amount |
269072.68 |
Total Medicare Standardized Payment Amount |
239672.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9675 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
14167.46 |
Total Drug Medicare AllowedAmount |
3767.67 |
Total Drug Medicare PaymentAmount |
2933.5 |
Total Drug Medicare Standardized Payment Amount |
2933.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
3814 |
Number Of Medicare Beneficiaries With Medical Services |
2666 |
Total Medical Submitted Charge Amount |
1160094 |
Total Medical Medicare Allowed Amount |
347053.65 |
Total Medical Medicare Payment Amount |
266139.18 |
Total Medical Medicare Standardized Payment Amount |
236738.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
1050 |
Number Of Beneficiaries Age 75 to 84 |
833 |
Number Of Beneficiaries Age Greater 84 |
501 |
Number Of Female Beneficiaries |
1761 |
Number Of Male Beneficiaries |
905 |
Number Of Non Hispanic White Beneficiaries |
2164 |
Number Of Black or African American Beneficiaries |
184 |
Number Of AsianPacific Islander Beneficiaries |
150 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
55 |
Number Of Beneficiaries With Medicare Only Entitlement |
2309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
357 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5061 |