National Provider Identifier [NPI]: |
1972598282 |
Last Name Of The Provider |
LAFOND |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1036 E GRAND RIVER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRIGHTON |
Zip Code Of The Provider |
481161806 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
813 |
Number Of Medicare Beneficiaries |
130 |
Total Submitted Charge Amount |
47995.22 |
Total Medicare Allowed Amount |
40236.93 |
Total Medicare Payment Amount |
26831 |
Total Medicare Standardized Payment Amount |
28927.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
2060 |
Total Drug Medicare AllowedAmount |
1719.92 |
Total Drug Medicare PaymentAmount |
1684.9 |
Total Drug Medicare Standardized Payment Amount |
1684.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
761 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
45935.22 |
Total Medical Medicare Allowed Amount |
38517.01 |
Total Medical Medicare Payment Amount |
25146.1 |
Total Medical Medicare Standardized Payment Amount |
27242.26 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
23 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
50 |
Number Of Male Beneficiaries |
80 |
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 |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1932 |