National Provider Identifier [NPI]: |
1174610737 |
Last Name Of The Provider |
LANIER |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
146 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
244502356 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1027 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
81550.43 |
Total Medicare Allowed Amount |
65193.38 |
Total Medicare Payment Amount |
45759.8 |
Total Medicare Standardized Payment Amount |
46702.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2980 |
Total Drug Medicare AllowedAmount |
2157.99 |
Total Drug Medicare PaymentAmount |
2112.44 |
Total Drug Medicare Standardized Payment Amount |
2112.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
966 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
78570.43 |
Total Medical Medicare Allowed Amount |
63035.39 |
Total Medical Medicare Payment Amount |
43647.36 |
Total Medical Medicare Standardized Payment Amount |
44590.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
110 |
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 |
285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7635 |