National Provider Identifier [NPI]: |
1821064056 |
Last Name Of The Provider |
RHEE |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
165 CAMBRIDGE ST STE 302 |
Street Address 2 Of The Provider |
MGH RENAL ASSOCIATES |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142752 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1034 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
305456 |
Total Medicare Allowed Amount |
91262.58 |
Total Medicare Payment Amount |
69919.75 |
Total Medicare Standardized Payment Amount |
66860.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
522 |
Total Drug Medicare AllowedAmount |
377.43 |
Total Drug Medicare PaymentAmount |
369.86 |
Total Drug Medicare Standardized Payment Amount |
369.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1019 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
304934 |
Total Medical Medicare Allowed Amount |
90885.15 |
Total Medical Medicare Payment Amount |
69549.89 |
Total Medical Medicare Standardized Payment Amount |
66490.2 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
4.4797 |