National Provider Identifier [NPI]: |
1326052069 |
Last Name Of The Provider |
LUMSDAINE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
136 N 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOMPOC |
Zip Code Of The Provider |
934367002 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
2749 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
291925.79 |
Total Medicare Allowed Amount |
212718.18 |
Total Medicare Payment Amount |
160811.38 |
Total Medicare Standardized Payment Amount |
156038.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
274 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
9905.29 |
Total Drug Medicare AllowedAmount |
6715.96 |
Total Drug Medicare PaymentAmount |
6295.61 |
Total Drug Medicare Standardized Payment Amount |
6295.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2475 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
282020.5 |
Total Medical Medicare Allowed Amount |
206002.22 |
Total Medical Medicare Payment Amount |
154515.77 |
Total Medical Medicare Standardized Payment Amount |
149742.65 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0818 |