Medicare Facts for Brian Cistulli, LICSW


National Provider Identifier [NPI]: 1831116482
Last Name Of The Provider CISTULLI
First Name Of The Provider BRIAN
Middle Initial Of The Provider
Credentials Of The Provider LICSW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 14 LOON HILL RD
Street Address 2 Of The Provider
City Of The Provider DRACUT
Zip Code Of The Provider 018264015
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 322
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 34335
Total Medicare Allowed Amount 20986.76
Total Medicare Payment Amount 14053.21
Total Medicare Standardized Payment Amount 14408.02
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 5
Number Of Medical Services 322
Number Of Medicare Beneficiaries With Medical Services 48
Total Medical Submitted Charge Amount 34335
Total Medical Medicare Allowed Amount 20986.76
Total Medical Medicare Payment Amount 14053.21
Total Medical Medicare Standardized Payment Amount 14408.02
Average Age Of Beneficiaries 56
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 12
Number Of Male Beneficiaries 36
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 11
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 52
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 33
Percent Of With Hypertension 40
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.9422

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