National Provider Identifier [NPI]: |
1396784633 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
EMANUEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
67 UNION ST |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
NATICK |
Zip Code Of The Provider |
017607700 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
12936 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
3036577.5 |
Total Medicare Allowed Amount |
982171.32 |
Total Medicare Payment Amount |
759474.16 |
Total Medicare Standardized Payment Amount |
708906.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1587 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
419748.5 |
Total Drug Medicare AllowedAmount |
129486.74 |
Total Drug Medicare PaymentAmount |
99337.9 |
Total Drug Medicare Standardized Payment Amount |
99337.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
11349 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
2616829 |
Total Medical Medicare Allowed Amount |
852684.58 |
Total Medical Medicare Payment Amount |
660136.26 |
Total Medical Medicare Standardized Payment Amount |
609568.6 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3306 |