National Provider Identifier [NPI]: |
1588622070 |
Last Name Of The Provider |
DOYLE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 LOCUST ST |
Street Address 2 Of The Provider |
AMBULATORY CARE PHYSICIANS AT CDH, PC |
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010602052 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
3165 |
Number Of Medicare Beneficiaries |
1018 |
Total Submitted Charge Amount |
335475.25 |
Total Medicare Allowed Amount |
146720.92 |
Total Medicare Payment Amount |
101840.49 |
Total Medicare Standardized Payment Amount |
99281.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
177 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
3619.25 |
Total Drug Medicare AllowedAmount |
1328.12 |
Total Drug Medicare PaymentAmount |
993.09 |
Total Drug Medicare Standardized Payment Amount |
993.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
2988 |
Number Of Medicare Beneficiaries With Medical Services |
1018 |
Total Medical Submitted Charge Amount |
331856 |
Total Medical Medicare Allowed Amount |
145392.8 |
Total Medical Medicare Payment Amount |
100847.4 |
Total Medical Medicare Standardized Payment Amount |
98288.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1057 |