National Provider Identifier [NPI]: |
1962465468 |
Last Name Of The Provider |
BURSTEIN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 MONTGOMERY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICOPEE |
Zip Code Of The Provider |
010201969 |
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 |
84 |
Number Of Services |
5527 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
349971 |
Total Medicare Allowed Amount |
178655.81 |
Total Medicare Payment Amount |
133076.86 |
Total Medicare Standardized Payment Amount |
131252.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
8830 |
Total Drug Medicare AllowedAmount |
5250.85 |
Total Drug Medicare PaymentAmount |
5078.81 |
Total Drug Medicare Standardized Payment Amount |
5078.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
5204 |
Number Of Medicare Beneficiaries With Medical Services |
776 |
Total Medical Submitted Charge Amount |
341141 |
Total Medical Medicare Allowed Amount |
173404.96 |
Total Medical Medicare Payment Amount |
127998.05 |
Total Medical Medicare Standardized Payment Amount |
126173.8 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.172 |