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Edward Lake

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NPI Number Detailed Information

Provider Information:

Name: Edward Lake
Gender: M
Provider License Number If Given: 29465

NPI Information:

NPI: 1336131101
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/18/2005

Last Update Date: 11/22/2021

Reputation Report:

Provider Business Mailing Address:

Address: 855 N WESTHAVEN DR
Oshkosh, WI 54904
Phone Number: 9203038700
Fax Number: 9203035632

Provider Business Practice Location Address:

Address: 855 N WESTHAVEN DR
Oshkosh, WI 54904
Phone Number: 9203035626
Fax Number: 9203035632

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: WI

Top Doctors in WI

 

About Edward Lake

Edward Lake ( EDWARD LAKE ) is An Internal Medicine Physician in Oshkosh, WI. The NPI Number for Edward Lake is 1336131101.
The current location address for Edward Lake is 855 N WESTHAVEN DR Oshkosh, WI 54904 and the contact number is 9203038700 and fax number is 9203035632. The mailing address for Edward Lake is 855 N WESTHAVEN DR Oshkosh, WI 54904- 9203035626 (mailing address contact number - 9203038700).
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Edward Lake ?


Answer: The NPI Number for Edward Lake is 1336131101

Where is Edward Lake located?


Answer: Edward Lake is located at 855 N WESTHAVEN DR Oshkosh, WI 54904.

What is the specialty for Edward Lake ?


Answer: The Specialty of Edward Lake is An Internal Medicine Physician.

Are there any online reviews for Edward Lake ?


Answer: Yes! Check It Now.

Are there any other health care providers in Oshkosh, WI?


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 Edward Lake

Number of HCPCS 26
Number of Medicare Beneficiaries 192
Number of Services 8217
Total Submitted Charge Amount 832612
Total Medicare Allowed Amount 157382.1
Total Medicare Payment Amount 124088.78
Total Medicare Standardized Payment Amount 133051.92
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 77
Number of Beneficiaries Age 75 to 84 47
Number of Beneficiaries Age Greater 84 20
Number of Female Beneficiaries 89
Number of Male Beneficiaries 103
Number of Non-Hispanic White Beneficiaries 171
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 49
Number of Beneficiaries With Medicare Only Entitlement 143
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.2
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.15
Percent (%) of Beneficiaries Identified With Asthma 0.12
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.46
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.21
Percent (%) of Beneficiaries Identified With Depression 0.36
Percent (%) of Beneficiaries Identified With Diabetes 0.62
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.55
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.51
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 4.0431

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 Nephrology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2504
Number of Standardized 30-Day Fills 5384.4
Aggregate Cost Paid for All Claims 167770.72
Number of Day's Supply for All Claims 158402
Number of Medicare Beneficiaries 406
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2002
Including Refills, for Beneficiaries Age 65+ 4456.7
Beneficiaries Age 65+ 114703.29
Number of Day's Supply for All Claims for Beneficaries Age 65+ 131255
Number of Medicare Beneficiaries Age 65+ 339
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2235
Aggregate Cost Paid for Generic Drugs 103990.46
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1484
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 89722.54
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1020
Aggregate Cost Paid for Claims Filled by 78048.18
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 853
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 74280.68
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1651
by Low-Income Subsidy 93490.04
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including 46
Aggregate Cost Paid for Antibiotic Drugs 9103.4
Antibiotic Claims 31
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 72.300492611
Number of Beneficiaries Age Less Than 65 67
Number of Beneficiaries Age 65 to 74 162
Number of Beneficiaries Age 75 to 84 130
Number of Female Beneficiaries 222
Number of Male Beneficiaries 184
Number of Non-Hispanic White 370
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 297
Average Hierarchical Condition Category 3.1138705105

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