National Provider Identifier [NPI]: |
1205889953 |
Last Name Of The Provider |
SERLIN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
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 |
CD PRACTICE ASSOCIATES |
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 |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
2332 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
450046.01 |
Total Medicare Allowed Amount |
191664.78 |
Total Medicare Payment Amount |
146322.47 |
Total Medicare Standardized Payment Amount |
143243.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
2505.01 |
Total Drug Medicare AllowedAmount |
1639.02 |
Total Drug Medicare PaymentAmount |
1605.26 |
Total Drug Medicare Standardized Payment Amount |
1605.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2280 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
447541 |
Total Medical Medicare Allowed Amount |
190025.76 |
Total Medical Medicare Payment Amount |
144717.21 |
Total Medical Medicare Standardized Payment Amount |
141638.4 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
393 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0024 |