National Provider Identifier [NPI]: |
1891759650 |
Last Name Of The Provider |
LIU |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 MERRIMACK ST |
Street Address 2 Of The Provider |
RIVERWALK |
City Of The Provider |
LAWRENCE |
Zip Code Of The Provider |
018431756 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6919 |
Number Of Medicare Beneficiaries |
847 |
Total Submitted Charge Amount |
849137 |
Total Medicare Allowed Amount |
293980.53 |
Total Medicare Payment Amount |
218784.16 |
Total Medicare Standardized Payment Amount |
215561.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4598 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
221025 |
Total Drug Medicare AllowedAmount |
89191.42 |
Total Drug Medicare PaymentAmount |
69787.89 |
Total Drug Medicare Standardized Payment Amount |
69787.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2321 |
Number Of Medicare Beneficiaries With Medical Services |
847 |
Total Medical Submitted Charge Amount |
628112 |
Total Medical Medicare Allowed Amount |
204789.11 |
Total Medical Medicare Payment Amount |
148996.27 |
Total Medical Medicare Standardized Payment Amount |
145773.14 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
255 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4436 |