Teresa Lampe NP-C

Gender: F
Medical School: Other
Graduation Year: 1998
Primary Specialty: Nurse Practitioner

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted17
Total Provider Services269
Total Medicare beneficiaries receiving the provider services119
The total charges that the provider submitted for all services$12,724.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$7,096.94
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$5,868.05
Total Medicare Standardized Payment Amount$6,119.79
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services17
Total medical (non-ASP) services269
Total Medicare beneficiaries receiving medical (non-ASP) services119
The total charges that the provider submitted for medical services (non-ASP)$12,724.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$7,096.94
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$5,868.05
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$6,119.79
Average age of beneficiaries66
Number of beneficiaries under the age of 6526
Number of beneficiaries between the ages of 65 and 7469
Number of Female beneficiaries119
Number of Male Beneficiaries0
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year95
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits24
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis45%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries0.7989

Source: data.cms.gov

Teresa Lampe NP-C's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Urinalysis, manual test 15 13 15 $3.23 $20.0 $3.17 631%
Stool analysis for blood to screen for colon tumors 96 96 96 $4.46 $5.0 $4.37 114%
Established patient office or other outpatient visit, typically 15 minutes 30 27 30 $60.29 $125.0 $36.13 346%
Cervical or vaginal cancer screening; pelvic and clinical breast examination 57 57 57 $31.77 $45.0 $31.13 145%
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 33 33 33 $36.59 $50.0 $35.86 139%
Source: 2017 Provider CMS Charge Data