National Provider Identifier [NPI]: |
1700876356 |
Last Name Of The Provider |
POST |
First Name Of The Provider |
DIANA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1153 CENTRE ST |
Street Address 2 Of The Provider |
BRIGHAM PRIMARY PHYSICIANS OF FAULKNER HOSPITAL |
City Of The Provider |
JAMAICA PLAIN |
Zip Code Of The Provider |
021303446 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1021 |
Number Of Medicare Beneficiaries |
395 |
Total Submitted Charge Amount |
219463 |
Total Medicare Allowed Amount |
67155.29 |
Total Medicare Payment Amount |
52176.77 |
Total Medicare Standardized Payment Amount |
48993.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
62 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
3906 |
Total Drug Medicare AllowedAmount |
2287.74 |
Total Drug Medicare PaymentAmount |
2242.03 |
Total Drug Medicare Standardized Payment Amount |
2242.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
959 |
Number Of Medicare Beneficiaries With Medical Services |
395 |
Total Medical Submitted Charge Amount |
215557 |
Total Medical Medicare Allowed Amount |
64867.55 |
Total Medical Medicare Payment Amount |
49934.74 |
Total Medical Medicare Standardized Payment Amount |
46751.13 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
203 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2172 |