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Dr. Lara Diane Church

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NPI Number Detailed Information

Provider Information:

Name: Dr. Lara Diane Church
Gender: F
Provider License Number If Given: ME105548

NPI Information:

NPI: 1043280449
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/26/2006

Last Update Date: 12/27/2018

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 45443
Salt Lake City, UT 84145
Phone Number: 9042021032
Fax Number: 9043764107

Provider Business Practice Location Address:

Address: 141 HILDEN RD STE 201 CREDENTIALING DEPARTMENT
Ponte Vedra, FL 32081
Phone Number: 9048251941
Fax Number: 9048292850

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: FL

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About Dr. Lara Diane Church

Dr. Lara Diane Church (DR. LARA DIANE CHURCH ) is Family Family Medicine Physician in Ponte Vedra, FL. The NPI Number for Dr. Lara Diane Church is 1043280449.
The current location address for Dr. Lara Diane Church is 141 HILDEN RD STE 201 CREDENTIALING DEPARTMENT Ponte Vedra, FL 32081 and the contact number is 9042021032 and fax number is 9043764107. The mailing address for Dr. Lara Diane Church is PO BOX 45443 Salt Lake City, UT 84145- 9048251941 (mailing address contact number - 9042021032).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Lara Diane Church ?


Answer: The NPI Number for Dr. Lara Diane Church is 1043280449

Where is Dr. Lara Diane Church located?


Answer: Dr. Lara Diane Church is located at 141 HILDEN RD STE 201 CREDENTIALING DEPARTMENT Ponte Vedra, FL 32081.

What is the specialty for Dr. Lara Diane Church ?


Answer: The Specialty of Dr. Lara Diane Church is Family Family Medicine Physician.

Are there any online reviews for Dr. Lara Diane Church ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ponte Vedra, FL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Lara Diane Church

Number of HCPCS 43
Number of Medicare Beneficiaries 338
Number of Services 1455
Total Submitted Charge Amount 280206
Total Medicare Allowed Amount 141873.14
Total Medicare Payment Amount 111729.96
Total Medicare Standardized Payment Amount 109465.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 75
Number of Drug Services 130
Total Drug Submitted Charge Amount 10001
Total Drug Medicare Allowed Amount 5299.52
Total Drug Medicare Payment Amount 5273.59
Total Drug Medicare Standardized Payment Amount 5167.93
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 35
Number of Medicare Beneficiaries With Medical 338
Number of Medical Services 1325
Total Medical Submitted Charge Amount 270205
Total Medical Medicare Allowed Amount 136573.62
Total Medical Medicare Payment Amount 106456.37
Total Medical Medicare Standardized Payment Amount 104297.59
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 194
Number of Beneficiaries Age 75 to 84 114
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 246
Number of Male Beneficiaries 92
Number of Non-Hispanic White Beneficiaries 309
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 12
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.16
Percent (%) of Beneficiaries Identified With Diabetes 0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.72
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9499

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 5483
Number of Standardized 30-Day Fills 13301.766667
Aggregate Cost Paid for All Claims 387338.97
Number of Day's Supply for All Claims 392423
Number of Medicare Beneficiaries 429
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5291
Including Refills, for Beneficiaries Age 65+ 12869.533333
Beneficiaries Age 65+ 364417.9
Number of Day's Supply for All Claims for Beneficaries Age 65+ 380078
Number of Medicare Beneficiaries Age 65+ 411
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 731
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4738
Aggregate Cost Paid for Generic Drugs 107777.73
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 14
Aggregate Cost Paid for Other Drugs 771.12
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2503
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 237824.59
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2980
Aggregate Cost Paid for Claims Filled by 149514.38
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 306
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 53235.75
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5177
by Low-Income Subsidy 334103.22
Total Claims of Opioid Drugs, Including 14
Aggregate Cost Paid for Opioid Drugs 50.48
Opioid Claims 11
Opioid_Tot_Clms divided by the Tot_Clms 0.2553346708
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 136
Aggregate Cost Paid for Antibiotic Drugs 2414.34
Antibiotic Claims 93
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 13
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1759.21
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 74.018648019
Number of Beneficiaries Age Less Than 65 18
Number of Beneficiaries Age 65 to 74 242
Number of Beneficiaries Age 75 to 84 135
Number of Female Beneficiaries 302
Number of Male Beneficiaries 127
Number of Non-Hispanic White 390
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 16
Only Entitlement 411
Average Hierarchical Condition Category 1.0538570959

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