National Provider Identifier [NPI]: |
1053306423 |
Last Name Of The Provider |
FRANKEL |
First Name Of The Provider |
ELLEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 RESERVOIR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRANSTON |
Zip Code Of The Provider |
029104423 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5382 |
Number Of Medicare Beneficiaries |
961 |
Total Submitted Charge Amount |
336073 |
Total Medicare Allowed Amount |
280135.43 |
Total Medicare Payment Amount |
196869.29 |
Total Medicare Standardized Payment Amount |
190565.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
6012 |
Total Drug Medicare AllowedAmount |
4738.39 |
Total Drug Medicare PaymentAmount |
3643.31 |
Total Drug Medicare Standardized Payment Amount |
3643.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5261 |
Number Of Medicare Beneficiaries With Medical Services |
961 |
Total Medical Submitted Charge Amount |
330061 |
Total Medical Medicare Allowed Amount |
275397.04 |
Total Medical Medicare Payment Amount |
193225.98 |
Total Medical Medicare Standardized Payment Amount |
186922.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
608 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
909 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
881 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9416 |