Medicare Facts for Dr. Evan P. Provisor, MD


National Provider Identifier [NPI]: 1366427429
Last Name Of The Provider PROVISOR
First Name Of The Provider EVAN
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 94 SOUTH ST
Street Address 2 Of The Provider
City Of The Provider SOUTHBRIDGE
Zip Code Of The Provider 015504000
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 65
Number Of Services 384
Number Of Medicare Beneficiaries 210
Total Submitted Charge Amount 167650
Total Medicare Allowed Amount 73538.98
Total Medicare Payment Amount 56413.16
Total Medicare Standardized Payment Amount 55729.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 65
Number Of Medical Services 384
Number Of Medicare Beneficiaries With Medical Services 210
Total Medical Submitted Charge Amount 167650
Total Medical Medicare Allowed Amount 73538.98
Total Medical Medicare Payment Amount 56413.16
Total Medical Medicare Standardized Payment Amount 55729.52
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 76
Number Of Beneficiaries Age 75 to 84 58
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 90
Number Of Male Beneficiaries 120
Number Of Non Hispanic White Beneficiaries 195
Number Of Black or African American Beneficiaries
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 143
Number Of Beneficiaries With Medicare Medicaid Entitlement 67
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 9
Percent Of With Cancer 18
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 24
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2736

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