Medicare Facts for Dr. Blake R. Lambourne, MD


National Provider Identifier [NPI]: 1194793802
Last Name Of The Provider LAMBOURNE
First Name Of The Provider BLAKE
Middle Initial Of The Provider R
Credentials Of The Provider MEDICAL DOCTOR
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5 MEDICAL PLAZA DR
Street Address 2 Of The Provider SUITE 250
City Of The Provider ROSEVILLE
Zip Code Of The Provider 956612868
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 14
Number Of Medicare Beneficiaries 13
Total Submitted Charge Amount 4805.4
Total Medicare Allowed Amount 1498.51
Total Medicare Payment Amount 1058.35
Total Medicare Standardized Payment Amount 1037.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 6
Number Of Medical Services 14
Number Of Medicare Beneficiaries With Medical Services 13
Total Medical Submitted Charge Amount 4805.4
Total Medical Medicare Allowed Amount 1498.51
Total Medical Medicare Payment Amount 1058.35
Total Medical Medicare Standardized Payment Amount 1037.53
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 13
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 0
Percent Of With Chronic Kidney Disease 0
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression
Percent Of With Diabetes 0
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.6149

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