National Provider Identifier [NPI]: |
1598716862 |
Last Name Of The Provider |
ERLER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16 HAYDEN AVE |
Street Address 2 Of The Provider |
LAHEY LEXINGTON |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
024217929 |
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 |
27 |
Number Of Services |
764 |
Number Of Medicare Beneficiaries |
262 |
Total Submitted Charge Amount |
128578.13 |
Total Medicare Allowed Amount |
57223.32 |
Total Medicare Payment Amount |
47382.13 |
Total Medicare Standardized Payment Amount |
44381.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
6542.13 |
Total Drug Medicare AllowedAmount |
4036.26 |
Total Drug Medicare PaymentAmount |
3933.47 |
Total Drug Medicare Standardized Payment Amount |
3933.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
682 |
Number Of Medicare Beneficiaries With Medical Services |
262 |
Total Medical Submitted Charge Amount |
122036 |
Total Medical Medicare Allowed Amount |
53187.06 |
Total Medical Medicare Payment Amount |
43448.66 |
Total Medical Medicare Standardized Payment Amount |
40448.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
83 |
Number Of Male Beneficiaries |
179 |
Number Of Non Hispanic White Beneficiaries |
228 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0663 |