| National Provider Identifier [NPI]: | 1326004292 |
| Last Name Of The Provider | HAMBLY |
| First Name Of The Provider | FREDERICK |
| 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 | 812 E JOLLY RD |
| Street Address 2 Of The Provider | STE 215 |
| City Of The Provider | LANSING |
| Zip Code Of The Provider | 489106818 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Psychiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 13 |
| Number Of Services | 1318 |
| Number Of Medicare Beneficiaries | 165 |
| Total Submitted Charge Amount | 32284.6 |
| Total Medicare Allowed Amount | 30119.63 |
| Total Medicare Payment Amount | 19350.23 |
| Total Medicare Standardized Payment Amount | 22904.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 809 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 7441.41 |
| Total Drug Medicare AllowedAmount | 5996.73 |
| Total Drug Medicare PaymentAmount | 4604.73 |
| Total Drug Medicare Standardized Payment Amount | 4604.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 9 |
| Number Of Medical Services | 509 |
| Number Of Medicare Beneficiaries With Medical Services | 164 |
| Total Medical Submitted Charge Amount | 24843.19 |
| Total Medical Medicare Allowed Amount | 24122.9 |
| Total Medical Medicare Payment Amount | 14745.5 |
| Total Medical Medicare Standardized Payment Amount | 18299.71 |
| Average Age Of Beneficiaries | 50 |
| Number Of Beneficiaries Age Less65 | 141 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 62 |
| Number Of Male Beneficiaries | 103 |
| Number Of Non Hispanic White Beneficiaries | 128 |
| 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 | 17 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 148 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 7 |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | 7 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 22 |
| Percent Of With Hyperlipidemia | 28 |
| Percent Of With Hypertension | 35 |
| Percent Of With Ischemic Heart Disease | 7 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 15 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 50 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.9754 |