National Provider Identifier [NPI]: |
1902056963 |
Last Name Of The Provider |
LAMB |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2093 HENRY TECKLENBURG DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CHARLESTON |
Zip Code Of The Provider |
294145741 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
1125 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
603711 |
Total Medicare Allowed Amount |
131223.68 |
Total Medicare Payment Amount |
96793.31 |
Total Medicare Standardized Payment Amount |
95429.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
610 |
Total Drug Medicare AllowedAmount |
216.95 |
Total Drug Medicare PaymentAmount |
164.41 |
Total Drug Medicare Standardized Payment Amount |
164.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
1003 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
603101 |
Total Medical Medicare Allowed Amount |
131006.73 |
Total Medical Medicare Payment Amount |
96628.9 |
Total Medical Medicare Standardized Payment Amount |
95264.73 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
324 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1487 |