National Provider Identifier [NPI]: |
1396717468 |
Last Name Of The Provider |
FLEWWELLING |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 LINDEN PONDS WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HINGHAM |
Zip Code Of The Provider |
020433769 |
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 |
41 |
Number Of Services |
4710 |
Number Of Medicare Beneficiaries |
661 |
Total Submitted Charge Amount |
217862.11 |
Total Medicare Allowed Amount |
217842.2 |
Total Medicare Payment Amount |
167288.01 |
Total Medicare Standardized Payment Amount |
162977.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
280 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
7768.97 |
Total Drug Medicare AllowedAmount |
7768.24 |
Total Drug Medicare PaymentAmount |
7582.37 |
Total Drug Medicare Standardized Payment Amount |
7582.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4430 |
Number Of Medicare Beneficiaries With Medical Services |
661 |
Total Medical Submitted Charge Amount |
210093.14 |
Total Medical Medicare Allowed Amount |
210073.96 |
Total Medical Medicare Payment Amount |
159705.64 |
Total Medical Medicare Standardized Payment Amount |
155395.04 |
Average Age Of Beneficiaries |
85 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
238 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6317 |