National Provider Identifier [NPI]: |
1124017066 |
Last Name Of The Provider |
LAMBIASE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 CATAMORE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST PROVIDENCE |
Zip Code Of The Provider |
029141204 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
11313 |
Number Of Medicare Beneficiaries |
2286 |
Total Submitted Charge Amount |
514390 |
Total Medicare Allowed Amount |
159375.93 |
Total Medicare Payment Amount |
117375.97 |
Total Medicare Standardized Payment Amount |
115205.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
7500 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
4125 |
Total Drug Medicare AllowedAmount |
1493.1 |
Total Drug Medicare PaymentAmount |
1156.33 |
Total Drug Medicare Standardized Payment Amount |
1156.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
3813 |
Number Of Medicare Beneficiaries With Medical Services |
2286 |
Total Medical Submitted Charge Amount |
510265 |
Total Medical Medicare Allowed Amount |
157882.83 |
Total Medical Medicare Payment Amount |
116219.64 |
Total Medical Medicare Standardized Payment Amount |
114049.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
545 |
Number Of Beneficiaries Age 65 to 74 |
721 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
490 |
Number Of Female Beneficiaries |
1297 |
Number Of Male Beneficiaries |
989 |
Number Of Non Hispanic White Beneficiaries |
1798 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
1401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
885 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7386 |